Individual
DR. LISA ANN MCCLUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
447 W COLUMBIA AVE, TELLURIDE, CO 81435-9448
(970) 708-0208
Mailing address
PO BOX 305, PLACERVILLE, CO 81430-0305
(970) 708-0208
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2807
CO
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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