Organization
PSYCHOGNOSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY P CROUCH PHD (SECRETARY/PRESIDENT)
(720) 272-9272
Entity
Organization
Contact information
Practice address
8670 WOLFF CT, SUITE #130, WESTMINSTER, CO 80031-6956
(720) 272-9272
(720) 272-9272
Mailing address
2774 S VINE ST, DENVER, CO 80210-6345
(720) 272-9272
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1457
CO
Other
Enumeration date
11/02/2006
Last updated
08/14/2013
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