Doctor Name: | DR. JODY D KIRCHER |
NPI Number: | 1013247089 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | PSY-3083 |
Business Practice Address: | 9362 Teddy Ln Suite 206 Lonetree, CO - 801242870 |
Business Phone Number: | 3038622501 |
Business Fax Number: | 3037058039 |
Mailing Address: | 9362 Teddy Ln, Suite 206 LONETREE |
State: | CO |
Postal Code: | 801242870 |
Phone Number: | 3038622501 |
Fax Number: | 3037058039 |
NPI Enumeration Date: | 01/13/2010 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY-3083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |