1417150087 NPI number — MARTIN CHRISTOPHER DEE LMFT, LPCC

Table of content: MARTIN CHRISTOPHER DEE LMFT, LPCC (NPI 1417150087)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417150087 NPI number — MARTIN CHRISTOPHER DEE LMFT, LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DEE
Provider First Name:
MARTIN
Provider Middle Name:
CHRISTOPHER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT, LPCC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417150087
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/19/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 172604
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80217-2604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-837-3466
Provider Business Mailing Address Fax Number:
951-575-3620

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9892 E 60TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80238-2395
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-837-3466
Provider Business Practice Location Address Fax Number:
951-575-3620
Provider Enumeration Date:
06/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  LMFT44578 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: MFT.0001441 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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