Individual
DR. JOHN GRACE SHETHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
723 N NEVADA AVENUE, COLORADO SPRINGS, CO 80903-1007
(719) 578-9916
Mailing address
723 N NEVADA AVE, COLORADO SPRINGS, CO 80903-1007
(719) 578-9916
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
653
CO
Other
Enumeration date
10/19/2006
Last updated
09/06/2023
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