Provider Demographics
NPI:1881996627
Name:TERRY, RICHARD (MA)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:TERRY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 S TAMARAC DR
Mailing Address - Street 2:APT L-310
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4377
Mailing Address - Country:US
Mailing Address - Phone:720-363-7892
Mailing Address - Fax:
Practice Address - Street 1:3300 S TAMARAC DR
Practice Address - Street 2:APT L-310
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4377
Practice Address - Country:US
Practice Address - Phone:720-363-7892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health