Provider Demographics
NPI:1023168093
Name:DUEGER, STEPHANIE KIRSTEN (MA)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:KIRSTEN
Last Name:DUEGER
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 1:1434 SNOWMASS CT
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-6221
Mailing Address - Country:US
Mailing Address - Phone:303-519-1046
Mailing Address - Fax:
Practice Address - Street 1:3031 W 76TH AVE
Practice Address - Street 2:COMMUNITY REACH CENTER
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4909
Practice Address - Country:US
Practice Address - Phone:303-853-3886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health