Organization
ELISSA I. GEASE PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISSA I GEASE PH.D. (PSYCHOLOGIST)
(303) 462-0853
Entity
Organization
Contact information
Practice address
950 WADSWORTH BLVD, 200, LAKEWOOD, CO 80214-4591
(303) 462-0853
Mailing address
9482 W BALTIC CT, LAKEWOOD, CO 80227-2201
(303) 980-6164
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
890
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609898501
INDIVIDUAL NPI
—
Enumeration date
07/03/2012
Last updated
07/03/2012
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