Organization
EVERGREEN PSYCHOTHERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY M LEVY PH.D (CLINICAL DIRECTOR)
(303) 674-4029
Entity
Organization
Contact information
Practice address
32065 CASTLE CT, SUITE 325, EVERGREEN, CO 80439-9586
(303) 674-4029
(303) 674-4078
Mailing address
32065 CASTLE CT, SUITE 325, EVERGREEN, CO 80439-9586
(303) 674-4029
(303) 674-4078
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/03/2007
Last updated
08/22/2020
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