MEDICARE: DR. BRYAN OVIDIO ROJAS-ARAUZ PHD, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	05991	CO
2	103T00000X	Psychologist	05991	CO
3	103TC1900X	Counseling Psychologist	05991	CO
4	106H00000X	Marriage & Family Therapist
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1447744644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRYAN OVIDIO ROJAS-ARAUZ PHD, LP

Provider Business Mailing Address
First Line	:	1638 N LOGAN ST STE 4
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1687
Country	:	US
Telephone Number	:	720-515-5354
Fax Number	:

Provider Business Practice Location Address
First Line	:	1638 N LOGAN ST STE 4
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1687
Country	:	US
Telephone Number	:	720-515-5354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2018
Last Update Date	:	11/11/2024

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