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Individual

DR. LAURENCE SAIGO AYLESWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1300 LAFAYETTE ST, DENVER, CO 80218-4421
(303) 839-9773
(303) 861-2558
Mailing address
1300 LAFAYETTE ST, DENVER, CO 80218-4421
(303) 839-9773
(303) 861-2558

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
939
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C804905
MEDICARE GROUP PIN
CO
Enumeration date
01/11/2007
Last updated
02/03/2009
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