Individual
DR. GARY A FENSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
357 MCCASLIN BLVD, SUITE 200, LOUISVILLE, CO 80027-2941
(303) 666-4903
(303) 926-5201
Mailing address
814 OWL DR, LOUISVILLE, CO 80027-2728
(303) 666-4903
(303) 926-5201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1270
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07012701
—
CO
Enumeration date
06/28/2006
Last updated
07/20/2008
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