Provider Demographics
NPI:1013247089
Name:KIRCHER, JODY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JODY
Middle Name:
Last Name:KIRCHER
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 1:556 O'CONNOR DRIVE, UNIT 108
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:K7P 1N3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9085 E MINERAL CIR STE 235
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3400
Practice Address - Country:US
Practice Address - Phone:303-862-2501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPSY-203213103TC0700X
COPSY-3083103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical