Provider Demographics
NPI:1154519890
Name:GALASKA, DEBORAH ANNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANNE
Last Name:GALASKA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11420 CRANSTON DR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-6868
Mailing Address - Country:US
Mailing Address - Phone:719-646-7854
Mailing Address - Fax:719-495-7965
Practice Address - Street 1:11420 CRANSTON DR
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-6868
Practice Address - Country:US
Practice Address - Phone:719-646-7854
Practice Address - Fax:719-495-7965
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT-809106H00000X
COPSY-3450103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO47233877Medicaid
CO9000177236Medicaid