Individual
DR. DENNIS L. WACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4045 WADSWORTH BLVD, # 308, WHEAT RIDGE, CO 80033-4642
(303) 421-1896
(303) 237-3589
Mailing address
4045 WADSWORTH BLVD, # 308, WHEAT RIDGE, CO 80033-4642
(303) 421-1896
(303) 237-3589
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1083
CO
103TC0700X
Clinical Psychologist
Primary
1083
CO
Other
Enumeration date
05/17/2006
Last updated
08/27/2007
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