Provider Demographics
NPI:1528041522
Name:PELC, ROBERT E (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:PELC
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:5961 MIDDLEFIELD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2873
Mailing Address - Country:US
Mailing Address - Phone:303-388-6761
Mailing Address - Fax:303-388-0132
Practice Address - Street 1:5961 MIDDLEFIELD RD STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2873
Practice Address - Country:US
Practice Address - Phone:303-388-6761
Practice Address - Fax:303-388-0132
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO531103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07105109Medicaid
C91236Medicare PIN
C91236Medicare UPIN