Provider Demographics
NPI:1083925895
Name:CATHY CALVERT, PSYD, P. C.
Entity Type:Organization
Organization Name:CATHY CALVERT, PSYD, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CALVERT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:719-337-2237
Mailing Address - Street 1:3225 TEMPLETON GAP RD STE 214
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-8714
Mailing Address - Country:US
Mailing Address - Phone:719-337-2237
Mailing Address - Fax:855-646-6864
Practice Address - Street 1:3225 TEMPLETON GAP RD STE 214
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8714
Practice Address - Country:US
Practice Address - Phone:719-337-2237
Practice Address - Fax:855-646-6864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3432103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty