Individual
ALISA O'RILEY HANNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1130 WILLOW BROOK BND, FARMINGTON, NY 14425-9064
(650) 833-8357
Mailing address
5585 ERINDALE DR STE 203, COLORADO SPRINGS, CO 80918-6969
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0003890
CO
Other
Enumeration date
07/25/2012
Last updated
05/01/2024
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