DR. Theresa Barbara Bazacos, PH.D.

NPI #1306103627 in Firestone, Colorado

Provider Information

NPI Number
1306103627
Entity Type
Individual
Name
DR. Theresa Barbara Bazacos, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Apr 12, 2012
Last Updated
Apr 26, 2012

Practice Location

Address
5221 BOWERSOX PKWY
ZIP Code
80504-5904
Phone
(559) 618-0159

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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