Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RALPH S. DATEMA, D MIN.
Active Sole ProprietorDR. RALPH S. DATEMA, D MIN. is a Marriage & Family Therapist healthcare provider located in BURLINGTON, Colorado. NPI 1073729828 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · BURLINGTON, CO
Registration Details
- NPI Number
- 1073729828
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.282072313219 yrs)
- Last Updated
- Aug 15, 2011
- Licenses
-
105 (CO)1441 76 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1564 SENTER AVEBURLINGTON, CO, 808071645Browse CO providers · Browse ZIP 80807
- Phone
- 3039740947
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Marriage & Family Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.