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Organization
LAISSA PRATI PSYCHOLOGY PRIVATE PRACTICE LLC
Active
Organization
LAISSA PRATI PSYCHOLOGY PRIVATE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAISSA ESCHILETTI PRATI PSYCHOLOGIST (PSYCHOLOGIST)
(970) 889-4862
Entity
Organization
Contact information
Practice address
300 BOARDWALK DR, UNIT 5-A, FORT COLLINS, CO 80525-3070
(970) 223-2256
(970) 223-2324
Mailing address
6519 TOMBSTONE RIDGE RD, TIMNATH, CO 80547-6501
(970) 889-4862
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY.0004455
CO
Other
Enumeration date
10/05/2016
Last updated
04/20/2017
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