Individual
GIFT WAHIWE MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11059 E BETHANY DR, SUITE 200, AURORA, CO 80014-2622
(303) 627-2009
(303) 617-2397
Mailing address
11059 E BETHANY DR, SUITE 200, AURORA, CO 80014-2622
(303) 627-2009
(303) 617-2397
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0004288
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/20/2011
Last updated
01/10/2022
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