Individual
DR. LARISSA CATHERINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1001 YOSEMITE ST, DENVER, CO 80230-6003
(303) 602-4545
Mailing address
777 BANNOCK ST # MC1923, DENVER, CO 80204-4597
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3260
OR
103T00000X
Psychologist
Primary
PSY.0005675
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500786080
—
OR
Enumeration date
10/08/2020
Last updated
11/09/2021
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