Provider Demographics
NPI:1952756777
Name:PINEGAR, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:PINEGAR
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 1:19751 E MAINSTREET
Mailing Address - Street 2:SUITE 225
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7378
Mailing Address - Country:US
Mailing Address - Phone:720-507-1907
Mailing Address - Fax:
Practice Address - Street 1:19751 E MAINSTREET
Practice Address - Street 2:SUITE 225
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7378
Practice Address - Country:US
Practice Address - Phone:720-507-1907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional