Individual
LEA TREANOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., NCSP, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1583
CO
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
31254
CO
Other
Enumeration date
04/26/2008
Last updated
04/26/2008
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