Provider Demographics
NPI:1740553098
Name:SPIETH, DAVID H (CAC II)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:SPIETH
Suffix:
Gender:M
Credentials:CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 W JEWELL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-7108
Mailing Address - Country:US
Mailing Address - Phone:303-975-1922
Mailing Address - Fax:303-975-1918
Practice Address - Street 1:6655 W JEWELL AVE STE 100
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-7108
Practice Address - Country:US
Practice Address - Phone:303-975-1922
Practice Address - Fax:303-975-1918
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007651101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)