Organization
TERRY M. LEVY,PH.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY MICHAEL LEVY PH.D. (PSYCHOLOGIST/DIRECTOR)
(303) 674-4029
Entity
Organization
Contact information
Practice address
32065 CASTLE CT, SUITE 325, EVERGREEN, CO 80439-9586
(303) 674-4029
(303) 674-4078
Mailing address
32065 CASTLE CT, SUITE 325, EVERGREEN, CO 80439-9586
(303) 674-4029
(303) 674-4078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1822
CO
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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