Individual
MINI MATHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
190 E 9TH AVE STE 350, DENVER, CO 80203-2738
(949) 449-2499
Mailing address
190 E 9TH AVE STE 350, DENVER, CO 80203-2738
(949) 449-2499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYC.00015092
CO
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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