| Robert A. Chinisci, Ph.d., P.c. | |
|
4770 E Iliff Ave Suite 234 Denver CO 80222-6061 | |
| (303) 757-4142 | |
| (303) 337-3808 |
| Full Name | Robert A. Chinisci, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4770 E Iliff Ave, Denver, Colorado |
| Authorized Official Name and Position | Robert A. Chinisci (PSYCHOLOGIST) |
| Authorized Official Contact | 3037574142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A. Chinisci, Ph.d., P.c. 4770 E Iliff Ave Suite 234 Denver CO 80222-6061 Ph: (303) 757-4142 | Robert A. Chinisci, Ph.d., P.c. 4770 E Iliff Ave Suite 234 Denver CO 80222-6061 Ph: (303) 757-4142 |
| NPI Number | 1801233598 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 06/04/2013 |
| Medicare PECOS PAC ID | 7113166158 |
|---|---|
| Medicare Enrollment ID | O20130624000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801233598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 565 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | 565 (Colorado) | Primary |
| Provider Name | Robert A Chinisci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285735498 PECOS PAC ID: 5991738759 Enrollment ID: I20050913001083 |
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