Individual
DEANNA M. COSCHIGNANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1650 COCHRANE CIRCLE, FORT CARSON, CO 80913-1411
(719) 526-5371
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 357-0207
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2769
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156
PSYCHOLOGY LICENSE
HI
01
—
2769
PSYCHOLOGY LICENSE
CO
Enumeration date
07/07/2006
Last updated
01/25/2011
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