Provider Demographics
NPI:1497717979
Name:PEET, DENNIS LEE DUFFY (MSW)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:LEE DUFFY
Last Name:PEET
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:DUFFY
Other - Middle Name:
Other - Last Name:PEET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:40 2ND STREET EAST
Mailing Address - Street 2:SUITE 236
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6114
Mailing Address - Country:US
Mailing Address - Phone:406-257-8775
Mailing Address - Fax:
Practice Address - Street 1:40 2ND STREET EAST
Practice Address - Street 2:SUITE 236
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6114
Practice Address - Country:US
Practice Address - Phone:406-257-8775
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT18104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker