Provider Demographics
NPI:1417062134
Name:FAMILY PSYCHOLOGICAL SERVICES, PC
Entity Type:Organization
Organization Name:FAMILY PSYCHOLOGICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:CROWELL
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:970-351-6688
Mailing Address - Street 1:1750 25TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4943
Mailing Address - Country:US
Mailing Address - Phone:970-351-6688
Mailing Address - Fax:970-351-6687
Practice Address - Street 1:1750 25TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4943
Practice Address - Country:US
Practice Address - Phone:970-351-6688
Practice Address - Fax:970-351-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO961103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty