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NPI Code Detail

MEDICARE: DANA STEIDTMANN PHD

MEDICARE: DANA STEIDTMANN PHD
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
1103TC0700XClinical Psychologist24591CA
2103TC0700XClinical Psychologist0004095CO

General Provider Information

NPI Number : 1790114411
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA STEIDTMANN PHD
Provider Business Mailing Address
First Line : 13199 E MONTVIEW BLVD
Second Line : SUITE 330, MS F550
City : AURORA
State : CO
Zip : 80045-7202
Country : US
Telephone Number : 303-724-3300
Fax Number : 303-724-4968
Provider Business Practice Location Address
First Line : 13199 E MONTVIEW BLVD
Second Line : SUITE 330, MS F550
City : AURORA
State : CO
Zip : 80045-7202
Country : US
Telephone Number : 303-724-3300
Fax Number : 303-724-4968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2013
Last Update Date : 09/23/2014

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Directions to “ DANA STEIDTMANN PHD” Practice Location

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