Individual
HERMAN STAUDENMAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5800 E EVANS AVE, 20-B, DENVER, CO 80222-5311
(303) 758-8934
(303) 758-6840
Mailing address
5800 E EVANS AVE, 20-B, DENVER, CO 80222-5311
(303) 758-8934
(303) 758-6840
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
684
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07104599
—
CO
Enumeration date
02/09/2006
Last updated
07/08/2007
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