Individual
DR. TIAH L. TERRANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
3194 FAIRMONT DR UNIT 11B, WELLINGTON, CO 80549-1891
(970) 515-3646
(970) 221-0982
Mailing address
3194 FAIRMONT DR UNIT 11B, WELLINGTON, CO 80549-1891
(970) 515-3646
(970) 221-0982
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3686
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04582870
—
CO
Enumeration date
08/28/2009
Last updated
01/07/2022
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