Individual
DR. PETER A MAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1079 S HOVER ST STE 200, LONGMONT, CO 80501-7924
(303) 827-2485
(303) 442-7312
Mailing address
1079 S HOVER ST STE 200, LONGMONT, CO 80501-7924
(303) 827-2485
(303) 442-7312
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
995
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07009954
—
CO
Enumeration date
05/02/2006
Last updated
07/22/2022
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