# LISA LUBIN, PH.D., L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982030110
- **Authorized official:** DR. LISA ROBIN LUBIN PH.D. (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (303) 680-4205

## Contact information

- **Practice address:** 6175 S CARSON ST, CENTENNIAL, CO 80111-6071
- **Practice address phone:** (303) 680-4205
- **Practice address fax:** (303) 680-0489
- **Mailing address:** 6175 S CARSON ST, CENTENNIAL, CO 80111-6071
- **Mailing address phone:** (303) 680-4205
- **Mailing address fax:** (303) 680-0489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 1489 | CO | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 1489 | CO | Yes |

## Other

- **Enumeration date:** 09/19/2013
- **Last updated:** 09/19/2013