Healthcare Provider Details
I. General information
NPI: 1144422833
Provider Name (Legal Business Name): RICHARD STEELE PHD.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2150 CURTIS ST
DENVER CO
80205-2519
US
IV. Provider business mailing address
2150 CURTIS ST
DENVER CO
80205-2519
US
V. Phone/Fax
- Phone: 303-296-2244
- Fax: 303-296-1709
- Phone: 303-296-2244
- Fax: 303-296-1709
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 526 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: