Individual
LAISSA ESCHILETTI PRATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
300 BOARDWALK DR, UNIT 5-A, FORT COLLINS, CO 80525-3070
(970) 223-2256
(970) 223-2324
Mailing address
6519 TOMBSTONE RIDGE RD, TIMNATH, CO 80547-6501
(970) 889-4862
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0004455
CO
Other
Enumeration date
08/19/2016
Last updated
11/05/2016
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