Organization
DOVE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARR PSYD (PSYCHOLOGIST/OWNER)
(720) 810-1386
Entity
Organization
Contact information
Practice address
312 5 TH STREET, WALDEN, CO 80480
(720) 810-1386
Mailing address
PO BOX 882, WALDEN, CO 80480-0882
(720) 810-1386
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0004733
CO
Other
Enumeration date
05/17/2018
Last updated
03/12/2019
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