Individual
DR. LISA MARET VONDERHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10291 CHIPPEWA CIR, SALIDA, CO 81201-9596
(970) 531-0574
Mailing address
10291 CHIPPEWA CIR, SALIDA, CO 81201-9596
(970) 531-0574
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2106
CO
103TC0700X
Clinical Psychologist
Primary
2106
CO
Other
Enumeration date
12/06/2006
Last updated
11/07/2022
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