Individual
DR. SANDRA LEE SPOSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4601 CORBETT DRIVE, FORT COLLINS, CO 80528
(970) 207-4857
(970) 207-4885
Mailing address
4601 CORBETT DRIVE, FORT COLLINS, CO 80528
(970) 207-4857
(970) 207-4885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2594
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33557756
—
CO
Enumeration date
10/02/2006
Last updated
07/08/2007
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