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NPI Code Detail

MEDICARE: DR. ALAN TOULOUSE PH.D.

MEDICARE: DR. ALAN TOULOUSE PH.D.
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
1103TC0700XClinical PsychologistPSY.0002596CO
2103TC1900XCounseling PsychologistPSY.0002596CO

General Provider Information

NPI Number : 1760567713
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN TOULOUSE PH.D.
Provider Business Mailing Address
First Line : 1290 CHAMBERS RD
Second Line :
City : AURORA
State : CO
Zip : 80011-7117
Country : US
Telephone Number : 303-617-2300
Fax Number : 303-617-2397
Provider Business Practice Location Address
First Line : 14301 E HAMPDEN AVE
Second Line :
City : AURORA
State : CO
Zip : 80014-3902
Country : US
Telephone Number : 303-617-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 12/23/2020

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