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Organization

DANDELION PSYCHOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BETH RENAE PETERS PHD (FOUNDER AND PSYCHOLOGIST)
(303) 704-3612
Entity
Organization

Contact information

Practice address
7850 VANCE DR STE 185, ARVADA, CO 80003-2127
(303) 704-3612
(512) 597-2829
Mailing address
9930 W 105TH AVE, WESTMINSTER, CO 80021-7324
(303) 704-3612
(512) 597-2829

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4004
CO
103TC2200X
Clinical Child & Adolescent Psychologist
4004
CO
103TF0000X
Family Psychologist
4004
CO
1041C0700X
Clinical Social Worker
09923708
CO

Other

Enumeration date
07/19/2016
Last updated
07/19/2016
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