Individual
DR. DAVID GAGE MIRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2860 AMES ST, WHEAT RIDGE, CO 80214-8520
(303) 824-0132
(303) 524-6451
Mailing address
2860 AMES ST, WHEAT RIDGE, CO 80214-8520
(303) 824-0132
(303) 524-6451
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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