Individual
DR. NOAH M REAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
10350 E DAKOTA AVE, STE B, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1222
CO
163WP0808X
Psychiatric/Mental Health Registered Nurse
1222
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004137
KAISER-COMMERCIAL NUMBER
—
05
—
07012222
—
CO
Enumeration date
02/16/2007
Last updated
06/23/2021
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