Healthcare Provider Details

I. General information

NPI: 1831407899
Provider Name (Legal Business Name): WILLIAM DUNTON FORBES PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2010
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2885 AURORA #22
BOULDER CO
80303
US

IV. Provider business mailing address

2885 AURORA #22
BOULDER CO
80303
US

V. Phone/Fax

Practice location:
  • Phone: 303-449-6262
  • Fax:
Mailing address:
  • Phone: 303-449-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number871
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: