Individual
GLORIA EDITH HISAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2010 W 120TH AVE, SUITE 201, WESTMINSTER, CO 80234-2444
(303) 466-3807
Mailing address
2010 W 120TH AVE, SUITE 201, WESTMINSTER, CO 80234-2444
(303) 466-3807
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
650
CO
Other
Enumeration date
08/31/2007
Last updated
04/23/2008
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