Individual
MS. ELIZABETH LILLIAN ASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1790 30TH ST STE 230, BOULDER, CO 80301-1019
(781) 710-9220
Mailing address
1790 30TH ST STE 230, BOULDER, CO 80301-1019
(781) 710-9220
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
2304
OR
103TC1900X
Counseling Psychologist
Primary
4767
CO
Other
Enumeration date
03/09/2015
Last updated
04/19/2018
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