Provider Demographics
NPI:1598812257
Name:RITCHIE-GOODLINE, JENNIFER S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:S
Last Name:RITCHIE-GOODLINE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6065 S QUEBEC ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4524
Mailing Address - Country:US
Mailing Address - Phone:720-299-8342
Mailing Address - Fax:303-779-0327
Practice Address - Street 1:6065 S QUEBEC ST
Practice Address - Street 2:SUITE 202
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4524
Practice Address - Country:US
Practice Address - Phone:720-299-8342
Practice Address - Fax:303-779-0327
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2741103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist