Provider Demographics
NPI:1215250048
Name:MARTIN D. MELTZER, M.A., LPC; LLC
Entity type:Organization
Organization Name:MARTIN D. MELTZER, M.A., LPC; LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MELTZER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:303-721-9779
Mailing Address - Street 1:PO BOX 2240
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80161-2240
Mailing Address - Country:US
Mailing Address - Phone:303-721-9779
Mailing Address - Fax:303-721-7350
Practice Address - Street 1:6860 S YOSEMITE CT
Practice Address - Street 2:SUITE 2000
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1409
Practice Address - Country:US
Practice Address - Phone:303-721-9779
Practice Address - Fax:303-721-7350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC 69101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty