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GREGORY A THWAITES PHD

Clinical Neuropsychologist

Greeley, Colorado

Provider NPI: 1952345738

Provider Information:
 GREGORY A THWAITES PHD
Gender: M
Not Sole Proprietor

Practice Location:
2001 70TH AVE  GREELEY, CO 80634 US
Tel: 970-392-2193  Fax: 970-392-2193

Business Mailing Address:
2001 70TH AVE  GREELEY, CO 80634 US
Tel: 970-392-2193  Fax: 970-392-2193

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CO2049

Other Provider Identifiers:

IssuerNumberStateType
07020498CO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS CO - Page 1



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