Provider Demographics
NPI:1700814480
Name:CHAMBERLIN, THOMAS CAREY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CAREY
Last Name:CHAMBERLIN
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:PO BOX 270568
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-0010
Mailing Address - Country:US
Mailing Address - Phone:720-260-8919
Mailing Address - Fax:720-981-9453
Practice Address - Street 1:11398 W WOLF TOOTH PASS
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4027
Practice Address - Country:US
Practice Address - Phone:720-260-8919
Practice Address - Fax:720-981-9453
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1880103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist