Provider Demographics
NPI:1083737548
Name:SPEIGHT, DALLAS E (LPC)
Entity Type:Individual
Prefix:MR
First Name:DALLAS
Middle Name:E
Last Name:SPEIGHT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3867 DEER VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-3325
Mailing Address - Country:US
Mailing Address - Phone:720-838-9622
Mailing Address - Fax:303-962-2962
Practice Address - Street 1:7393 S ALTON WAY
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2302
Practice Address - Country:US
Practice Address - Phone:720-838-9622
Practice Address - Fax:303-962-2962
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3512101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health