Individual
DR. ELIZABETH LUCILLE SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
425 SOUTH CHERRY STREET, #140, DENVER, CO 80246
(303) 329-6586
(303) 388-3896
Mailing address
425 SOUTH CHERRY STREET, #140, DENVER, CO 80246
(303) 329-6586
(303) 388-3896
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2048
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07020480
—
CO
Enumeration date
09/22/2006
Last updated
07/08/2007
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