Provider Demographics
NPI:1225627524
Name:LAPERRIERE, KATHRYN ALICE
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ALICE
Last Name:LAPERRIERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 S WADSWORTH BLVD APT 5-303
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1375
Mailing Address - Country:US
Mailing Address - Phone:720-517-0806
Mailing Address - Fax:
Practice Address - Street 1:4801 S WADSWORTH BLVD APT 5-303
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1375
Practice Address - Country:US
Practice Address - Phone:720-517-0806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW000004081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty