Organization
DENNIS L WACK PH.D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS L WACK PH.D (PRESIDENT)
(303) 421-1896
Entity
Organization
Contact information
Practice address
4045 WADSWORTH BLVD, SUITE 308, WHEAT RIDGE, CO 80033-4642
(303) 421-1896
(303) 237-3589
Mailing address
4045 WADSWORTH BLVD, SUITE 308, WHEAT RIDGE, CO 80033-4642
(303) 421-1896
(303) 237-3589
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1083
CO
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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