Individual
DR. JACK DEMPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY.0004714
CO
103TC2200X
Clinical Child & Adolescent Psychologist
36106
TX
103TC2200X
Clinical Child & Adolescent Psychologist
PSY.0004714
CO
103TS0200X
School Psychologist
36106
TX
Other
Enumeration date
06/11/2012
Last updated
09/10/2021
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