Provider Demographics
NPI:1982606596
Name:KOLSCHEFSKY, PEGGY E (PSYD)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:E
Last Name:KOLSCHEFSKY
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 1:2870 N SPEER BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4207
Mailing Address - Country:US
Mailing Address - Phone:303-567-6262
Mailing Address - Fax:303-433-0111
Practice Address - Street 1:2870 N SPEER BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4207
Practice Address - Country:US
Practice Address - Phone:303-567-6262
Practice Address - Fax:303-433-0111
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2322103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
680015944OtherRAILROAD MEDICARE
680015944OtherRAILROAD MEDICARE
CO461478Medicare ID - Type Unspecified