MEDICARE: CATHY CALVERT, PSYD, P. C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	3432	CO

General Provider Information

NPI Number	:	1083925895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHY CALVERT, PSYD, P. C.

Provider Business Mailing Address
First Line	:	3225 TEMPLETON GAP RD STE 214
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-8714
Country	:	US
Telephone Number	:	719-337-2237
Fax Number	:	855-646-6864

Provider Business Practice Location Address
First Line	:	3225 TEMPLETON GAP RD STE 214
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-8714
Country	:	US
Telephone Number	:	719-337-2237
Fax Number	:	855-646-6864

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	DR. CATHRYN A CALVERT
Credential	:	PSYD
Telephone Number	:	719-337-2237

Provider Enumeration Date	:	06/25/2010
Last Update Date	:	11/11/2014

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