Individual
DR. GARY MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1175 OSAGE ST STE 201, DENVER, CO 80204-3436
(303) 573-0839
Mailing address
1175 OSAGE ST STE 201, DENVER, CO 80204-3436
(303) 573-0839
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3052
—
103TC1900X
Counseling Psychologist
3052
CO
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3052
CO
103TS0200X
School Psychologist
0441416
CO
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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