MEDICARE: DR. PETER LEWIS POSES PH.D., LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY1718	CO
2	106H00000X	Marriage & Family Therapist	MFT016551	CA
3	106H00000X	Marriage & Family Therapist	MFT092	CO

General Provider Information

NPI Number	:	1073683504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER LEWIS POSES PH.D., LMFT

Provider Business Mailing Address
First Line	:	2550 STOVER ST
Second Line	:	E101
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4641
Country	:	US
Telephone Number	:	303-851-7265
Fax Number	:	303-316-7352

Provider Business Practice Location Address
First Line	:	2550 STOVER ST
Second Line	:	E101
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4641
Country	:	US
Telephone Number	:	303-851-7265
Fax Number	:	303-316-7352

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	09/11/2025

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