| NPI | 1669863171 |
|---|---|
| Former Legal Business Name | FRED E.W. PEIPMAN, PHD, PA |
| Entity Type | Organization |
| Authorized Contact | FRED EDGAR WINFIELD PEIPMAN Owner 970-799-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26578) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |