Provider Demographics
NPI:1427225135
Name:KREIMEYER, JOSHUA DEAN (PLPC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:DEAN
Last Name:KREIMEYER
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 S NEVADA AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-4006
Mailing Address - Country:US
Mailing Address - Phone:719-471-9992
Mailing Address - Fax:719-632-7571
Practice Address - Street 1:602 S NEVADA AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-4006
Practice Address - Country:US
Practice Address - Phone:719-471-9992
Practice Address - Fax:719-632-7571
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health