Provider Demographics
NPI:1790114411
Name:STEIDTMANN, DANA (PHD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:STEIDTMANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13199 E MONTVIEW BLVD
Mailing Address - Street 2:SUITE 330, MS F550
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7202
Mailing Address - Country:US
Mailing Address - Phone:303-724-3300
Mailing Address - Fax:303-724-4968
Practice Address - Street 1:13199 E MONTVIEW BLVD
Practice Address - Street 2:SUITE 330, MS F550
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7202
Practice Address - Country:US
Practice Address - Phone:303-724-3300
Practice Address - Fax:303-724-4968
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24591103TC0700X
CO0004095103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical