Organization
GARY TOUB, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S. TOUB PH.D. (PRESIDENT)
(303) 278-2448
Entity
Organization
Contact information
Practice address
1271 LAFAYETTE ST, DENVER, CO 80218-2315
(303) 278-2448
(303) 394-4933
Mailing address
1271 LAFAYETTE ST, DENVER, CO 80218-2315
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
635
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03820769
—
CO
01
—
TOT9672
ANTHEM BCBS PROVIDER ID
CO
Enumeration date
06/26/2006
Last updated
05/23/2011
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