Healthcare Provider Details

I. General information

NPI: 1811837628
Provider Name (Legal Business Name): ASHLEY MERRITT PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 N LOGAN ST STE 660
DENVER CO
80203-1994
US

IV. Provider business mailing address

1580 N LOGAN ST STE 660
DENVER CO
80203-1994
US

V. Phone/Fax

Practice location:
  • Phone: 719-930-0247
  • Fax:
Mailing address:
  • Phone: 719-930-0247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY.0005224
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: