Basic Information
| Provider Information | |||||||||
| NPI: | 1790114411 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STEIDTMANN | ||||||||
| FirstName: | DANA | ||||||||
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| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13199 E MONTVIEW BLVD | ||||||||
| Address2: | SUITE 330, MS F550 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800457202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037243300 | ||||||||
| FaxNumber: | 3037244968 | ||||||||
| Practice Location | |||||||||
| Address1: | 13199 E MONTVIEW BLVD | ||||||||
| Address2: | SUITE 330, MS F550 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800457202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037243300 | ||||||||
| FaxNumber: | 3037244968 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2013 | ||||||||
| LastUpdateDate: | 09/23/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 24591 | CA | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | 0004095 | CO | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.