Healthcare Provider Details

I. General information

NPI: 1972391126
Provider Name (Legal Business Name): JANET DODD, PH.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S ALBION ST STE 415B
DENVER CO
80222-4043
US

IV. Provider business mailing address

3804 S MALTA ST
AURORA CO
80013-7419
US

V. Phone/Fax

Practice location:
  • Phone: 720-938-2804
  • Fax:
Mailing address:
  • Phone: 720-938-2804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JANET DODD
Title or Position: OFFICE MANAGER
Credential: PH.D.
Phone: 720-938-2804