Provider Demographics
NPI:1033757836
Name:DENVER WEST PSYCHOLOGICAL SERVICES AND RESEARCH LLC
Entity Type:Organization
Organization Name:DENVER WEST PSYCHOLOGICAL SERVICES AND RESEARCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MESHKIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIRIRAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-888-4070
Mailing Address - Street 1:1492 S JELLISON ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-5025
Mailing Address - Country:US
Mailing Address - Phone:928-284-0600
Mailing Address - Fax:
Practice Address - Street 1:1492 S JELLISON ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-5025
Practice Address - Country:US
Practice Address - Phone:928-284-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2020-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty