Organization
SURVIVING TO THRIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIAH TERRANOVA PSY.D. (FULL MEMBER)
(970) 515-3646
Entity
Organization
Contact information
Practice address
3194 FAIRMONT DR UNIT 11B, WELLINGTON, CO 80549-1891
(970) 515-3646
Mailing address
3194 FAIRMONT DR UNIT 11B, WELLINGTON, CO 80549-1891
(970) 515-3646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/02/2022
Last updated
01/14/2022
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