| Peak Pediatric Psychology Llc | |
|
1550 E. Niagara Road Montrose CO 81401 | |
| (970) 497-4921 | |
| (970) 701-4161 |
| Full Name | Peak Pediatric Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1550 E. Niagara Road, Montrose, Colorado |
| Authorized Official Name and Position | Doriann Adragna (OWNER) |
| Authorized Official Contact | 9704974921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Pediatric Psychology Llc 1550 E. Niagara Road Montrose CO 81401-5027 Ph: (970) 497-4921 | Peak Pediatric Psychology Llc 1550 E. Niagara Road Montrose CO 81401 Ph: (970) 497-4921 |
| NPI Number | 1730547597 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/08/2016 |
| Medicare PECOS PAC ID | 0941575476 |
|---|---|
| Medicare Enrollment ID | O20171009001874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730547597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
| Provider Name | Doriann M Adragna |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1437516119 PECOS PAC ID: 4284909714 Enrollment ID: I20171009002546 |
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