Individual
DONALD F DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2200 IRIS ST, LAKEWOOD, CO 80215-1665
(303) 278-7418
(888) 341-5050
Mailing address
5310 WARD RD, SUITE 106, ARVADA, CO 80002-1832
(303) 278-7418
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1959
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1959
PROFESSIONAL LICENSE
CO
Enumeration date
09/11/2012
Last updated
09/11/2012
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