Individual
MYIA GORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2797 WEWATTA WAY UNIT 2043, DENVER, CO 80216-3640
(231) 944-8848
Mailing address
2797 WEWATTA WAY UNIT 2043, DENVER, CO 80216-3640
(231) 944-8848
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
24411966
CO
103TS0200X
School Psychologist
Primary
SP0000001063193
MI
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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