Individual
LYN GULLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 S MCCASLIN BLVD, SUITE 212, LOUISVILLE, CO 80027-9731
(303) 926-7300
(303) 604-4395
Mailing address
575 W MULBERRY ST, LOUISVILLE, CO 80027-9430
(303) 926-7300
(303) 604-4395
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1210
CO
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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