Individual
MICHAEL BANWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1504 GALENA ST, AURORA, CO 80010-2219
(303) 617-2300
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0006562
CO
Other
Enumeration date
06/08/2021
Last updated
10/17/2024
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