Provider Demographics
NPI:1023146982
Name:NAVARRETE, M. GINA (PHD)
Entity type:Individual
Prefix:
First Name:M.
Middle Name:GINA
Last Name:NAVARRETE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:E (GINA)
Other - Last Name:NAVARRETE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1001 S MONACO PKWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1656
Mailing Address - Country:US
Mailing Address - Phone:303-744-8355
Mailing Address - Fax:303-744-0126
Practice Address - Street 1:1001 S MONACO PKWY
Practice Address - Street 2:SUITE 240
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1656
Practice Address - Country:US
Practice Address - Phone:303-744-8355
Practice Address - Fax:303-744-0126
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2506103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical