Individual
JOANNE K WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3055 ROSLYN ST UNIT 250, DENVER, CO 80238-2778
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4432
CO
103TC0700X
Clinical Psychologist
3183
CO
103TC0700X
Clinical Psychologist
Primary
PSY.0003183
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017766
KAISER-COMMERCIAL NUMBER
—
05
—
07738315
—
CO
Enumeration date
03/22/2007
Last updated
10/14/2020
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