Individual
DR. BETH ANN LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 413-6220
Mailing address
115 SALINA ST, LAFAYETTE, CO 80026-3138
(303) 413-6220
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2503
CO
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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