| Denver Dynamic Therapy | |
|
1777 S Bellaire St Ste 339 Denver CO 80222-4434 | |
| (720) 588-0454 | |
| Not Available |
| Full Name | Denver Dynamic Therapy |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1777 S Bellaire St Ste 339, Denver, Colorado |
| Authorized Official Name and Position | Joshua Ryan Burg (CO-OWNER) |
| Authorized Official Contact | 7205880454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denver Dynamic Therapy 1777 S Bellaire St Ste 339 Denver CO 80222-4434 Ph: (720) 588-0454 | Denver Dynamic Therapy 1777 S Bellaire St Ste 339 Denver CO 80222-4434 Ph: (720) 588-0454 |
| NPI Number | 1821577719 |
|---|---|
| Provider Enumeration Date | 08/10/2018 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821577719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY.0004840 (Colorado) | Primary |
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