Provider Demographics
NPI:1831528058
Name:DERMAN, CATHRYN ELIZABETH (MS)
Entity type:Individual
Prefix:
First Name:CATHRYN
Middle Name:ELIZABETH
Last Name:DERMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 W CANAL CT STE 150
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5660
Mailing Address - Country:US
Mailing Address - Phone:720-442-2908
Mailing Address - Fax:
Practice Address - Street 1:1420 W CANAL CT
Practice Address - Street 2:STE 150
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5660
Practice Address - Country:US
Practice Address - Phone:720-443-2908
Practice Address - Fax:303-876-7658
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012604101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health