| Denver West Psychological Services And Research Llc | |
|
1492 S Jellison St Lakewood CO 80232-5025 | |
| (928) 284-0600 | |
| Not Available |
| Full Name | Denver West Psychological Services And Research Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1492 S Jellison St, Lakewood, Colorado |
| Authorized Official Name and Position | Meshkin Amirirad (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3038884070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denver West Psychological Services And Research Llc 1492 S Jellison St Lakewood CO 80232-5025 Ph: (928) 284-0600 | Denver West Psychological Services And Research Llc 1492 S Jellison St Lakewood CO 80232-5025 Ph: (928) 284-0600 |
| NPI Number | 1033757836 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 05/24/2020 |
| Certification Date | 05/24/2020 |
| Medicare PECOS PAC ID | 6406278944 |
|---|---|
| Medicare Enrollment ID | O20200630000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033757836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Meshkin B Amirirad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114346343 PECOS PAC ID: 7214359751 Enrollment ID: I20200630000018 |
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