Healthcare Provider Details

I. General information

NPI: 1851546394
Provider Name (Legal Business Name): ASHLEY DANNER SWARD PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY DANNER MONTGOMERY B.A.

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13001 E 17TH AVE FL 2
AURORA CO
80045-2505
US

IV. Provider business mailing address

13001 E 17TH AVE FL 2
AURORA CO
80045-2505
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-1000
  • Fax: 303-724-9472
Mailing address:
  • Phone: 303-724-1000
  • Fax: 303-724-9472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY.0004354
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: