Gregory A Thwaites Phd Pllc | |
2001 70th Ave Ste 205 Greeley CO 80634-4613 | |
(970) 392-2190 | |
(970) 392-2193 |
Full Name | Gregory A Thwaites Phd Pllc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 2001 70th Ave Ste 205, Greeley, Colorado |
Authorized Official Name and Position | Gregory A Thwaites (OWNER/PROVIDER) |
Authorized Official Contact | 9703922190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gregory A Thwaites Phd Pllc 2001 70th Ave Ste 205 Greeley CO 80634-4613 Ph: (970) 392-2190 | Gregory A Thwaites Phd Pllc 2001 70th Ave Ste 205 Greeley CO 80634-4613 Ph: (970) 392-2190 |
NPI Number | 1104860550 |
---|---|
Provider Enumeration Date | 06/16/2006 |
Last Update Date | 09/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104860550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 2049 (Colorado) | Primary |
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