Individual
ROBERT ALLAN BANCHERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
671 N GRANT ST, DENVER, CO 80203-3506
(720) 290-5286
(303) 469-7375
Mailing address
671 N GRANT ST, DENVER, CO 80203-3506
(720) 290-5286
(303) 469-7375
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-3077
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11952422
CAQH
CO
05
—
92422764
—
CO
Enumeration date
09/29/2007
Last updated
02/09/2016
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