Organization
ADVANCED TRAUMA RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES LAVOY (CLINICAL PSYCHOLOGIST)
(949) 233-5358
Entity
Organization
Contact information
Practice address
755 MALETA LN STE 202, CASTLE ROCK, CO 80108-7611
(949) 233-5358
Mailing address
755 MALETA LN STE 202, CASTLE ROCK, CO 80108-7611
(949) 233-5358
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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