Organization
THERESA M. GISI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA MAE GISI PH.D. (NEUROPSYCHOLOGIST)
(719) 641-0222
Entity
Organization
Contact information
Practice address
6270 LEHMAN DR, 200B, COLORADO SPRINGS, CO 80918-1469
(719) 641-0222
(719) 623-0008
Mailing address
17730 SMUGGLERS RD, MONUMENT, CO 80132-8517
(719) 641-0222
(719) 623-0008
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2396
CO
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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