Provider Demographics
NPI:1639319403
Name:COLORADO PSYCHOLOGICAL RESOURCES, PC
Entity Type:Organization
Organization Name:COLORADO PSYCHOLOGICAL RESOURCES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:TOBEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-832-3308
Mailing Address - Street 1:1370 PENNSYLVANIA ST
Mailing Address - Street 2:SUITE 450
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-5018
Mailing Address - Country:US
Mailing Address - Phone:303-832-3308
Mailing Address - Fax:303-863-1913
Practice Address - Street 1:1370 PENNSYLVANIA ST
Practice Address - Street 2:SUITE 450
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-5018
Practice Address - Country:US
Practice Address - Phone:303-832-3308
Practice Address - Fax:303-863-1913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2005103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty