Individual
DR. JUSTIN MICHENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7180 E ORCHARD RD STE 201, CENTENNIAL, CO 80111-1724
(914) 260-8151
Mailing address
3351 NEWTON ST, DENVER, CO 80211-3138
(914) 260-8151
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4504
CO
Other
Enumeration date
08/30/2010
Last updated
10/29/2018
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