Healthcare Provider Details

I. General information

NPI: 1114368594
Provider Name (Legal Business Name): WESTON VERLAINE DONALDSON PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8175 SHERIDAN BLVD UNIT N
ARVADA CO
80003-1928
US

IV. Provider business mailing address

8175 SHERIDAN BLVD UNIT N
ARVADA CO
80003-1928
US

V. Phone/Fax

Practice location:
  • Phone: 303-557-0855
  • Fax: 720-336-3149
Mailing address:
  • Phone: 303-557-0855
  • Fax: 720-336-3149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY.0004306
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: