Organization
PSYCHOTHERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY FORREST (OWNER)
(719) 597-5959
Entity
Organization
Contact information
Practice address
3208 N ACADEMY BLVD STE 160, COLORADO SPRINGS, CO 80917-5155
(719) 597-5959
Mailing address
3208 N ACADEMY BLVD STE 160, COLORADO SPRINGS, CO 80917-5155
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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