Provider Demographics
NPI:1568662120
Name:GERMAIN, JASON CHRISTOPHER (PHD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:CHRISTOPHER
Last Name:GERMAIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 W LITTLETON BLVD
Mailing Address - Street 2:LITTLETON STATION, SUITE 117
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2023
Mailing Address - Country:US
Mailing Address - Phone:303-947-0707
Mailing Address - Fax:303-295-0064
Practice Address - Street 1:1950 W LITTLETON BLVD
Practice Address - Street 2:LITTLETON STATION, SUITE 117
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2023
Practice Address - Country:US
Practice Address - Phone:303-947-0707
Practice Address - Fax:303-295-0064
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3105103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist