Individual
DR. JONATHAN RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1777 S BELLAIRE ST, SUITE 417, DENVER, CO 80222-4306
(303) 475-7987
Mailing address
1777 S BELLAIRE ST, SUITE 417, DENVER, CO 80222-4306
(303) 475-7987
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1528
CO
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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