Provider Demographics
NPI:1275877888
Name:DR.BRETT VALETTE INC.
Entity Type:Organization
Organization Name:DR.BRETT VALETTE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:EDOUARD
Authorized Official - Last Name:VALETTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-234-1026
Mailing Address - Street 1:2460 W 26TH AVE STE 10-C
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5308
Mailing Address - Country:US
Mailing Address - Phone:303-234-1026
Mailing Address - Fax:303-234-1042
Practice Address - Street 1:2460 W 26TH AVE STE 10-C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5308
Practice Address - Country:US
Practice Address - Phone:303-234-1026
Practice Address - Fax:303-234-1042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1548103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty