Healthcare Provider Details

I. General information

NPI: 1518354968
Provider Name (Legal Business Name): WALTER J TORRES PHD ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2015
Last Update Date: 04/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 E 1ST AVE SUITE 590
DENVER CO
80206-5810
US

IV. Provider business mailing address

3300 E 1ST AVE SUITE 590
DENVER CO
80206-5810
US

V. Phone/Fax

Practice location:
  • Phone: 303-321-5076
  • Fax:
Mailing address:
  • Phone: 303-321-5076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberPSY1246
License Number StateCO

VIII. Authorized Official

Name: DR. WALTER TORRES
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PHD
Phone: 303-321-5076