Provider Demographics
NPI:1386080232
Name:QUIGG, ANNA MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARIE
Last Name:QUIGG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1976 W BIG BEND RD
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-7155
Mailing Address - Country:US
Mailing Address - Phone:443-994-7487
Mailing Address - Fax:
Practice Address - Street 1:6900 W JEFFERSON AVE STE 100A
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2040
Practice Address - Country:US
Practice Address - Phone:737-587-4891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014029352103K00000X
AZPSY-005765103T00000X
CO0006316103T00000X
TX39983103T00000X
MO2013009286103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst