Provider Demographics
NPI:1548570856
Name:CALVERT, CATHRYN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CATHRYN
Middle Name:
Last Name:CALVERT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 TEMPLETON GAP RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-8728
Mailing Address - Country:US
Mailing Address - Phone:719-337-2237
Mailing Address - Fax:855-646-6864
Practice Address - Street 1:3225 TEMPLETON GAP RD
Practice Address - Street 2:SUITE 214
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8728
Practice Address - Country:US
Practice Address - Phone:719-337-2237
Practice Address - Fax:855-646-6864
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3432103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical