Healthcare Provider Details

I. General information

NPI: 1922902881
Provider Name (Legal Business Name): ASHLEY WURSTER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 E MEXICO AVE STE 900
DENVER CO
80210-3946
US

IV. Provider business mailing address

3900 E MEXICO AVE STE 900
DENVER CO
80210-3946
US

V. Phone/Fax

Practice location:
  • Phone: 720-608-1066
  • Fax:
Mailing address:
  • Phone: 720-608-1066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSYC.00016402
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: