Individual
AMANDA J GROVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
50 S STEELE ST, STE 950, DENVER, CO 80209-2805
(720) 446-6218
Mailing address
50 S STEELE ST, STE 950, DENVER, CO 80209-2805
(720) 446-6218
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0003819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88120881
—
CO
Enumeration date
08/21/2012
Last updated
12/02/2015
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