Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 10309 | MA |
N | 103TC0700X | Clinical Psychologist | 10309 | MA |
Y | 103G00000X | Clinical Psychologist | PSY.0005186 | CO |
Y | 103TC0700X | Clinical Psychologist | PSY.0005186 | CO |
N | 103TH0100X | Health Service | 10309 | MA |
NPI | 1013450501 |
---|---|
Provider Name | Dr. Michelle L West |
First Address | Aurora, CO 80045-2570 |
Second Address | Aurora, CO 80045-2570 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2016 |
Last Update Date | 14/07/2020 |