Healthcare Provider Details
I. General information
NPI: 1235926759
Provider Name (Legal Business Name): DAWSON PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6059 S QUEBEC ST STE 201
CENTENNIAL CO
80111-4523
US
IV. Provider business mailing address
6059 S QUEBEC ST STE 201
CENTENNIAL CO
80111-4523
US
V. Phone/Fax
- Phone: 303-517-2111
- Fax:
- Phone: 303-517-2111
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHELLE
DAWSON
Title or Position: OWNER
Credential: PSYD
Phone: 303-517-2111