Individual
LIA BILLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7 GALLINA PEAK, SANTA FE, NM 87508-1439
(720) 470-7980
(575) 571-4344
Mailing address
12128 W COOPER DR, LITTLETON, CO 80127-4861
(720) 470-7980
(575) 571-4344
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1128
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200521039
MEDICARE GROUP
NM
Enumeration date
06/09/2010
Last updated
04/28/2022
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