Organization
GREGORY A THWAITES PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A THWAITES PHD (OWNER/PROVIDER)
(970) 392-2190
Entity
Organization
Contact information
Practice address
2001 70TH AVE STE 205, GREELEY, CO 80634-4613
(970) 392-2190
(970) 392-2193
Mailing address
2001 70TH AVE STE 205, GREELEY, CO 80634-4613
(970) 392-2190
(970) 392-2193
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2049
CO
Other
Enumeration date
06/16/2006
Last updated
09/03/2010
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