| Peter A. Maves, Ph.d, Pllc | |
|
1079 S Hover St Ste 200 Longmont CO 80501-7924 | |
| (303) 827-2485 | |
| Not Available |
| Full Name | Peter A. Maves, Ph.d, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1079 S Hover St Ste 200, Longmont, Colorado |
| Authorized Official Name and Position | Peter A Maves (OWNER) |
| Authorized Official Contact | 3038272485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter A. Maves, Ph.d, Pllc 1079 S Hover St Ste 200 Longmont CO 80501-7924 Ph: (303) 827-2485 | Peter A. Maves, Ph.d, Pllc 1079 S Hover St Ste 200 Longmont CO 80501-7924 Ph: (303) 827-2485 |
| NPI Number | 1225765423 |
|---|---|
| Provider Enumeration Date | 08/07/2022 |
| Last Update Date | 08/07/2022 |
| Certification Date | 08/07/2022 |
| Medicare PECOS PAC ID | 8123487923 |
|---|---|
| Medicare Enrollment ID | O20230711001791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225765423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Peter A Maves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215995154 PECOS PAC ID: 1254364086 Enrollment ID: I20050913000786 |
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