Provider Demographics
NPI:1922721034
Name:SINGH, AMITABH DANIEL (LCSW)
Entity Type:Individual
Prefix:
First Name:AMITABH
Middle Name:DANIEL
Last Name:SINGH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2054 S MILWAUKEE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3554
Mailing Address - Country:US
Mailing Address - Phone:612-876-5084
Mailing Address - Fax:
Practice Address - Street 1:2054 S MILWAUKEE ST APT 2
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3554
Practice Address - Country:US
Practice Address - Phone:612-876-5084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health