Organization
LYNNE GILLICK, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNE GILLICK PH.D. (PRESIDENT PSYCHOLOGIST)
(719) 201-4245
Entity
Organization
Contact information
Practice address
5350 TOMAH DR STE 3600, COLORADO SPRINGS, CO 80918-6903
(719) 201-4245
Mailing address
5602 OLD RIVER DR, COLORADO SPRINGS, CO 80924-8129
(719) 201-4245
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2883
CO
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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