Basic Information
| Provider Information | |||||||||
| NPI: | 1053030270 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAVID | ||||||||
| FirstName: | MEGAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3222 LOWELL BLVD APT 2 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802113179 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6123865415 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3201 S TAMARAC DR | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802314360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035975000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2022 | ||||||||
| LastUpdateDate: | 08/22/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | CSW.09928449 | CO | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.