Individual
DR. ROBERT PAUL BOGENBERGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 LITTLE RAVEN ST, UNIT 502, DENVER, CO 80202
(303) 817-3672
Mailing address
2185 BROADWAY, DENVER, CO 80205-2534
(303) 296-2244
(303) 296-1709
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 1840
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07020225
—
CO
01
—
C65916
MEDICARE
CO
Enumeration date
02/17/2006
Last updated
07/08/2007
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