| Organization Name: | TERRY M. LEVY,PH.D.,P.A. |
| NPI Number: | 1003138140 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY MICHAEL LEVY (PSYCHOLOGIST/DIRECTOR) |
| Mailing Address: | 32065 Castle Ct Suite 325 Evergreen |
| State: | CO US |
| Postal Code: | 804399586 |
| Phone Number: | 3036744029 |
| Fax Number: | 3036744078 |
| NPI Enumeration Date: | 02/16/2010 |
| NPI Last Update Date: | 02/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1822 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |