Gary G Forrest, PHD EDD
Individual provider Active NPI Psychologist · Cosps, CO
NPI 1447320718 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447320718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 361 (CO)
- Practice address
- 3208 N Academy Blvd
160
Cosps, CO 80917-5176 - Phone
- (719) 597-5959
- Fax
- (719) 597-0166
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 361 | CO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy Associates | Psychologist | Past |
Accepting new patients |
| Psychotherapy Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 361 | CO | Yes |
Addresses
Primary practice location
3208 N Academy Blvd
160
Cosps, CO 80917-5176
Mailing address
3208 N Academy Blvd
160
Cosps, CO 80917-5176
Phone (719) 597-5959
Other providers in Cosps, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.