Individual
PETER CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9139 RIDGELINE BLVD, SUITE 210, HIGHLANDS RANCH, CO 80129-2333
(303) 338-4545
Mailing address
9139 RIDGELINE BLVD, SUITE 210, HIGHLANDS RANCH, CO 80129-2333
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1782
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007164
KAISER COMMERCIAL NUMBER
CO
05
—
47471298
—
CO
Enumeration date
05/08/2007
Last updated
02/08/2013
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