Provider Demographics
NPI:1790436970
Name:PASTER, REBEKAH L
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:L
Last Name:PASTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12954 W ILIFF AVE # 108
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-4336
Mailing Address - Country:US
Mailing Address - Phone:303-954-4052
Mailing Address - Fax:303-399-8010
Practice Address - Street 1:1490 N LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-2339
Practice Address - Country:US
Practice Address - Phone:303-954-4052
Practice Address - Fax:303-399-8010
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009923683104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker