Individual
NANCI AVITABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7535 E HAMPDEN AVE STE 400, DENVER, CO 80231-4844
(720) 353-1004
(303) 751-1764
Mailing address
2833 S WABASH CIR, DENVER, CO 80231-4224
(720) 353-1004
(303) 751-1764
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
NLC0008680
CO
103TS0200X
School Psychologist
Primary
239178
CO
Other
Enumeration date
02/22/2019
Last updated
03/31/2019
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