Provider Demographics
NPI:1477170058
Name:THE DENVER TECHNOLOGY GROUP, INC
Entity Type:Organization
Organization Name:THE DENVER TECHNOLOGY GROUP, INC
Other - Org Name:THE SANDAL MILLER GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANDAL-MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-841-0529
Mailing Address - Street 1:PO BOX 1057
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-1057
Mailing Address - Country:US
Mailing Address - Phone:303-841-0529
Mailing Address - Fax:720-851-3075
Practice Address - Street 1:19755 E PIKES PEAK AVE STE 202
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7439
Practice Address - Country:US
Practice Address - Phone:303-841-0529
Practice Address - Fax:720-851-3075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty