MEDICARE: TERRI TESTA PSYD

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	103T00000X	Psychologist
2	1041C0700X	Clinical Social Worker	CSW.00992118	CO

General Provider Information

NPI Number	:	1740828680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI TESTA PSYD

Provider Business Mailing Address
First Line	:	PO BOX 932
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80160-0932
Country	:	US
Telephone Number	:	720-336-3227
Fax Number	:

Provider Business Practice Location Address
First Line	:	6021 S SYRACUSE WAY STE 201
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-4747
Country	:	US
Telephone Number	:	720-336-3227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2019
Last Update Date	:	01/26/2022

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Directions to “ TERRI TESTA PSYD” Practice Location

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