Individual
CATHERINE GREISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
PSY.004567
CO
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY.0004567
CO
Other
Enumeration date
10/10/2012
Last updated
01/14/2021
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