Provider Demographics
NPI:1215045646
Name:DARMSTADTER, LOIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:
Last Name:DARMSTADTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 S HARRISON ST
Mailing Address - Street 2:# 840
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3925
Mailing Address - Country:US
Mailing Address - Phone:303-733-2525
Mailing Address - Fax:303-777-5923
Practice Address - Street 1:1777 S HARRISON ST
Practice Address - Street 2:# 840
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3925
Practice Address - Country:US
Practice Address - Phone:303-733-2525
Practice Address - Fax:303-777-5923
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1020103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO804846Medicare ID - Type Unspecified