Healthcare Provider Details

I. General information

NPI: 1194076448
Provider Name (Legal Business Name): ASHLEY GUNTERMAN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2012
Last Update Date: 05/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 W OXFORD AVE JAIL BASED EVALUATION AND RESTORATION
DENVER CO
80236-3108
US

IV. Provider business mailing address

3520 W OXFORD AVE JAIL BASED EVALUATION AND RESTORATION
DENVER CO
80236-3108
US

V. Phone/Fax

Practice location:
  • Phone: 720-874-5123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: