Organization
LIZA YORK, PH.D., LPPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZA L YORK PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(303) 875-4158
Entity
Organization
Contact information
Practice address
703 3RD AVE, SUITE C, LONGMONT, CO 80501-5996
(303) 875-4158
(303) 776-7631
Mailing address
703 3RD AVE, SUITE C, LONGMONT, CO 80501-5996
(303) 875-4158
(303) 776-7631
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2475
CO
103TC2200X
Clinical Child & Adolescent Psychologist
2475
CO
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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