Individual
BETH RENAE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10090 GARRISON ST, WESTMINSTER, CO 80021-3894
(303) 704-3612
(512) 597-2829
Mailing address
10090 GARRISON ST, WESTMINSTER, CO 80021-3894
(303) 704-3612
(512) 597-2829
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
33019
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY.4004
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187080007
—
TX
Enumeration date
06/25/2007
Last updated
02/12/2014
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