Provider Demographics
NPI:1609058312
Name:SPIEGLE, RICHARD F (PSYD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:F
Last Name:SPIEGLE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S CHERRY ST STE 315
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1705
Mailing Address - Country:US
Mailing Address - Phone:303-837-0776
Mailing Address - Fax:303-837-1624
Practice Address - Street 1:600 S CHERRY ST STE 315
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1705
Practice Address - Country:US
Practice Address - Phone:303-837-0776
Practice Address - Fax:303-837-1624
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO803103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO800292Medicare PIN