Individual
JON EASTON DENNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3955 E EXPOSITION AVE, SUITE 408, DENVER, CO 80209
(303) 519-9479
(303) 871-0992
Mailing address
3955 E EXPOSITION AVE, DENVER, CO 80209
(303) 519-9479
(303) 871-0992
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3515
CO
103TC0700X
Clinical Psychologist
3515
CO
106H00000X
Marriage & Family Therapist
797
CO
Other
Enumeration date
10/16/2007
Last updated
07/08/2013
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