| 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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