Individual
DR. JANINE DANNIBALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1245 ILIUM CIR, LAFAYETTE, CO 80026-1217
(720) 280-0116
Mailing address
1245 ILIUM CIR, LAFAYETTE, CO 80026-1217
(720) 280-0116
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2556
CO
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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