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Individual
DR. DAVID GAGE MIRICH
Active
Individual
DR. DAVID GAGE MIRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2679
CO
103TA0400X
Addiction (Substance Use Disorder) Psychologist
2679
CO
103TB0200X
Cognitive & Behavioral Psychologist
2679
CO
103TC0700X
Clinical Psychologist
2679
CO
103TF0200X
Forensic Psychologist
2679
CO
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2679
CO
103TP2701X
Group Psychotherapy Psychologist
2679
CO
103TS0200X
School Psychologist
2679
CO
106H00000X
Marriage & Family Therapist
Primary
2679
CO
Other
Enumeration date
01/16/2007
Last updated
09/11/2025
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