Provider Demographics
NPI:1821400821
Name:MUCHNICK, RISA (MA)
Entity Type:Individual
Prefix:
First Name:RISA
Middle Name:
Last Name:MUCHNICK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 S STEELE ST STE 506
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2810
Mailing Address - Country:US
Mailing Address - Phone:720-432-1328
Mailing Address - Fax:
Practice Address - Street 1:50 S STEELE ST STE 506
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2810
Practice Address - Country:US
Practice Address - Phone:720-432-1328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-24
Last Update Date:2014-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor