Organization
FOUNTAINHEAD PSYCHOLOGY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY B. CROCKETT PH.D. (PRESIDENT)
(303) 818-5540
Entity
Organization
Contact information
Practice address
1828 N CLARKSON ST, DENVER, CO 80218-1030
(303) 818-5540
Mailing address
641 YORK ST, DENVER, CO 80206-3745
(303) 818-5540
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2526
CO
Other
Enumeration date
04/06/2015
Last updated
11/14/2025
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