Healthcare Provider Details

I. General information

NPI: 1275896185
Provider Name (Legal Business Name): ASHLEY CAROLINE GRANDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 S JACKSON ST STE 901-6
DENVER CO
80210-3808
US

IV. Provider business mailing address

1776 S JACKSON ST STE 901-6
DENVER CO
80210-3808
US

V. Phone/Fax

Practice location:
  • Phone: 720-743-2202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: