Provider Demographics
NPI:1144595059
Name:DONNA PETERS PSY.D., P.C.
Entity Type:Organization
Organization Name:DONNA PETERS PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:303-594-7604
Mailing Address - Street 1:1720 S BELLAIRE ST
Mailing Address - Street 2:STE 907
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4304
Mailing Address - Country:US
Mailing Address - Phone:303-594-7604
Mailing Address - Fax:720-529-1557
Practice Address - Street 1:1720 S BELLAIRE ST
Practice Address - Street 2:STE 907
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4304
Practice Address - Country:US
Practice Address - Phone:303-594-7604
Practice Address - Fax:720-529-1557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3153103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty