Wallington, Desmond Alan

Wallington, Desmond Alan is an sole proprietor health care provider with primary practice located at 1200 S Parker Rd Ste 103 , Denver CO 80231-7500. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wallington, Desmond Alan can be contacted via phone (210) 556-1430.

Contact Information

Primary practice address
1200 S Parker Rd Ste 103 Denver CO 80231-7500
Phone: (210) 556-1430
Fax: (888) 504-2390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY.0004105 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X Oklahoma
Behavioral Health & Social Service Providers / Health Service 103TH0100X 1195 Oklahoma

Profile Details

NPI number 1831420207
LBN Legal business name Wallington, Desmond Alan
Credentials PHD, LP, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2010
Last updated May 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831420207 NPPES
Colorado Other PSY.0004105 PROFESSIONAL LICENSE
Colorado Other 1195 PROFESSIONAL LICENSE
Colorado Other 12229434 PROFESSIONAL LICENSE
Colorado MEDICAID 200442840A PROFESSIONAL LICENSE
Colorado MEDICAID 28203372 PROFESSIONAL LICENSE
Colorado Other 4395 PROFESSIONAL LICENSE
Colorado Other 12229434 PROFESSIONAL LICENSE
Colorado MEDICAID 200442840B PROFESSIONAL LICENSE

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