Provider Demographics
NPI:1073683504
Name:POSES, PETER LEWIS (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:LEWIS
Last Name:POSES
Suffix:
Gender:M
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 STOVER ST
Mailing Address - Street 2:E101
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4641
Mailing Address - Country:US
Mailing Address - Phone:303-851-7265
Mailing Address - Fax:303-316-7352
Practice Address - Street 1:2550 STOVER ST
Practice Address - Street 2:E101
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4641
Practice Address - Country:US
Practice Address - Phone:303-851-7265
Practice Address - Fax:303-316-7352
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY1718103T00000X
CAMFT016551106H00000X
COMFT092106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO801142Medicare ID - Type Unspecified
CO60696Medicare UPIN