Individual
YASUKO YAMAMOTO LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6541 SPECKER AVE, FORT CARSON, CO 80913-4263
(719) 503-7070
Mailing address
6541 SPECKER AVE, FORT CARSON, CO 80913-4263
(719) 503-7070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1805
KS
Other
Enumeration date
10/10/2006
Last updated
02/03/2021
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