Individual
DR. MARK ANTHON LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1635 FOXTRAIL DR # 108, LOVELAND, CO 80538-9086
(720) 615-8444
(720) 844-3300
Mailing address
464 GRANGE LN, JOHNSTOWN, CO 80534-7827
(720) 615-8444
(720) 844-3300
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY.0005495
CO
103TC0700X
Clinical Psychologist
PSY.0005495
CO
103TC2200X
Clinical Child & Adolescent Psychologist
37747
TX
Other
Enumeration date
09/21/2017
Last updated
11/09/2023
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