Organization
PEAK THERAPEUTIC INC
Active
Organization
PEAK THERAPEUTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RICHARD BOGSTAD (OWNER)
(951) 837-3722
Entity
Organization
Contact information
Practice address
6760 CORPORATE DR STE 140, COLORADO SPRINGS, CO 80919-5910
(951) 837-3722
(719) 631-0720
Mailing address
6760 CORPORATE DR STE 140, COLORADO SPRINGS, CO 80919-5910
(951) 837-3722
(719) 631-0720
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000155112
—
CO
Enumeration date
10/01/2018
Last updated
02/21/2022
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