Organization
PEGGY MAKI -WHITE PHD LLC
Active
Other names
Peggy Maki
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEGGY SUSAN MAKI-WHITE PH.D. (PSYCHOLOGIST / OWNER)
(970) 286-8765
Entity
Organization
Contact information
Practice address
1226 WEST ASH, SUITE F, WINDSOR, CO 80550
(970) 286-8765
Mailing address
P.O. BOX 173, WINDSOR, CO 80550
(970) 286-8765
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3593
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720171382
MEDICARE ADVANTAGE
CO
01
—
3699754
CIGNA
CO
01
—
3699754
VALUE OPTION
—
Enumeration date
07/25/2007
Last updated
01/30/2013
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