Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID PETERSON JR.
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · DENVER, CO
Registration Details
- NPI Number
- 1366823858
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2015 (10.865659027381 yrs)
- Last Updated
- May 21, 2021
- License
-
LPC.0012467 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10350 E DAKOTA AVE STE BDENVER, CO, 802471314Browse CO providers · Browse ZIP 80247
- Phone
- 3033384545
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in DENVER, CO
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH O'BRODO | LCSW | 1902298284 |
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.