Individual
DR. HEATHER EVE WEDGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4495 HALE PKWY STE 110, DENVER, CO 80220-6203
(720) 581-4620
(303) 923-8600
Mailing address
521 S MAGNOLIA LN, DENVER, CO 80224-1524
(720) 581-4620
(303) 923-8600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3350
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12089362
CAQH PIN
CO
01
—
PSY.0003350
PROFESSIONAL LICENSE
CO
Enumeration date
04/25/2008
Last updated
01/07/2021
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