Individual
DR. TERRY MICHAEL LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
32065 CASTLE CT, STE 325 EVERGREEN PSYCHOTHERAPY CTR, EVERGREEN, CO 80439
(303) 674-4029
(303) 674-4078
Mailing address
32065 CASTLE CT, STE 325 EVERGREEN PSYCHOTHERAPY CTR, EVERGREEN, CO 80439
(303) 674-4029
(303) 674-4078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1822
CO
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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