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Individual

DOUGLAS CHARLES VARVIL-WELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5822 S LOWELL WAY, LITTLETON, CO 80123-2849
(303) 422-1533
Mailing address
4860 ROBB ST, SUITE 201, WHEAT RIDGE, CO 80033-2184
(303) 278-7418
(303) 223-9315

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3703
CO
103TC1900X
Counseling Psychologist
0003703
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11493250
CAQH
CO
05
40920089
CO
01
PSY.0003703
PROFESSIONAL LICENSE
CO
Enumeration date
06/20/2006
Last updated
04/26/2016
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