Organization
LAISSA PRATI PSYCHOLOGY PRIVATE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAISSA ESCHILETTI PRATI PSYCHOLOGIST (PSYCHOLOGIST)
(970) 889-4862
Entity
Organization
Contact information
Practice address
300 BOARDWALK DR, UNIT 5-A, FORT COLLINS, CO 80525-3070
(970) 223-2256
(970) 223-2324
Mailing address
6519 TOMBSTONE RIDGE RD, TIMNATH, CO 80547-6501
(970) 889-4862
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY.0004455
CO
Other
Enumeration date
10/05/2016
Last updated
04/20/2017
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