Provider Demographics
NPI:1447365275
Name:KALOUS, THOMAS DALE (PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:DALE
Last Name:KALOUS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8778 WOLFF CT
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3698
Mailing Address - Country:US
Mailing Address - Phone:303-429-8393
Mailing Address - Fax:303-751-1311
Practice Address - Street 1:8778 WOLFF CT
Practice Address - Street 2:SUITE 204
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3698
Practice Address - Country:US
Practice Address - Phone:303-429-8393
Practice Address - Fax:303-751-1311
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1988103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist