Provider Demographics
NPI:1174268221
Name:WILBER, TERRI LYNN ANDERSON (HYPNOTHERAPIST)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:LYNN ANDERSON
Last Name:WILBER
Suffix:
Gender:F
Credentials:HYPNOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14143 DENVER WEST PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3275
Mailing Address - Country:US
Mailing Address - Phone:720-608-1893
Mailing Address - Fax:
Practice Address - Street 1:14143 DENVER WEST PKWY STE 100
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3275
Practice Address - Country:US
Practice Address - Phone:720-608-1893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTP-001187OtherASSOCIATION FOR INTEGRATIVE PSYCHOLOGY