Provider Demographics
NPI:1275826182
Name:FIERMAN, DEANNA MIRIAM (MA)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:MIRIAM
Last Name:FIERMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 JUDSON DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-6933
Mailing Address - Country:US
Mailing Address - Phone:720-771-6192
Mailing Address - Fax:
Practice Address - Street 1:1440 JUDSON DR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-6933
Practice Address - Country:US
Practice Address - Phone:720-771-6192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor