Individual
DOUGLAS CHARLES VARVIL-WELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
Update your record
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