Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THERESA BARBARA BAZACOS, PH.D.
Active Sole ProprietorDR. THERESA BARBARA BAZACOS, PH.D. is a Clinical Psychologist healthcare provider located in FIRESTONE, Colorado. NPI 1306103627 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FIRESTONE, CO
Registration Details
- NPI Number
- 1306103627
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2012 (14.325708524031 yrs)
- Last Updated
- Apr 26, 2012
- Licenses
-
PSY 3724 (CO)PY8481 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5221 BOWERSOX PKWYFIRESTONE, CO, 805045904Browse CO providers · Browse ZIP 80504
- Phone
- 5596180159
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.