Individual
LAUREN HAISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045
(720) 777-1234
Mailing address
921 E 13TH AVE APT 1A, DENVER, CO 80218-1954
(303) 319-5909
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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