Provider Demographics
NPI:1922140383
Name:BEREN, STEPHEN L (LMFT)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:L
Last Name:BEREN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4355 BATAVIA PL
Mailing Address - Street 2:# 5
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-1060
Mailing Address - Country:US
Mailing Address - Phone:303-333-7823
Mailing Address - Fax:
Practice Address - Street 1:8989 HURON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-6858
Practice Address - Country:US
Practice Address - Phone:303-853-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT 457106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist