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General NPI Number Information
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NPI Number | 1275611329
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Entity Type | Organization
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Legal Business Name | CANYON BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 8704 YATES DRIVE SUITE 100D
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City | WESTMINSTER
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State | CO
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Zip | 80031-6950
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Country | US
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Telephone | 303-430-4010
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Fax | 303-430-5306
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Provider Business Mailing Address
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Address Line | 8704 YATES DRIVE SUITE 100D
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City | WESTMINSTER
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State | CO
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Zip | 80031-6950
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Country | US
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Telephone | 303-430-4010
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Fax | 303-430-5306
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. MARY E. ROGERS
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Credential | PSYD
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Telephone | 303-931-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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