Provider Demographics
NPI:1184028896
Name:FRITZE, THOMAS (PSYD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:FRITZE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8864 SWAN RIVER ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-8021
Mailing Address - Country:US
Mailing Address - Phone:720-224-3996
Mailing Address - Fax:
Practice Address - Street 1:8864 SWAN RIVER ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-8021
Practice Address - Country:US
Practice Address - Phone:720-224-3996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TE1100X, 390200000X
CO5536103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Yes103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty