Provider Demographics
NPI:1821239468
Name:TURNER, DILMA BASTOS
Entity Type:Individual
Prefix:DR
First Name:DILMA
Middle Name:BASTOS
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:GIGI
Other - Middle Name:BASTOS
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 60116
Mailing Address - Street 2:PO BOX 60116
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80960-0116
Mailing Address - Country:US
Mailing Address - Phone:719-231-4863
Mailing Address - Fax:
Practice Address - Street 1:407 S. TEJON STREET
Practice Address - Street 2:SUITE B
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903
Practice Address - Country:US
Practice Address - Phone:719-231-4863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist