Provider Demographics
NPI:1871709733
Name:BUSCH, DANA ANNE (PSYD, MPH)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:ANNE
Last Name:BUSCH
Suffix:
Gender:F
Credentials:PSYD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 DOWNING ST
Mailing Address - Street 2:#1-301
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3467
Mailing Address - Country:US
Mailing Address - Phone:303-777-7338
Mailing Address - Fax:
Practice Address - Street 1:2525 15TH ST UNIT 1A
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3957
Practice Address - Country:US
Practice Address - Phone:303-433-1008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2761103TC0700X, 103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth