Individual
TERRANCE EZRA COOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 263-2824
Mailing address
1214 BLACK RIDGE DR, FRUITA, CO 81521-3069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10183491-2501
UT
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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