Individual
DR. THERESA M GISI,
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
17730 SMUGGLERS RD, MONUMENT, CO 80132-8517
(719) 641-0222
(719) 623-0008
Mailing address
6270 LEHMAN DR, SUITE 200B, COLORADO SPRINGS, CO 80918-1469
(719) 641-0222
(719) 623-0008
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2396
CO
Other
Enumeration date
04/02/2007
Last updated
05/26/2014
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