Individual
LISA SEVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
162 ZENITH AVE, LAFAYETTE, CO 80026-1297
(720) 840-7986
Mailing address
162 ZENITH AVE, LAFAYETTE, CO 80026-1297
(720) 840-7986
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3822
CO
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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