Individual
LAWRENCE WAHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 CLERMONT ST, DENVER VA MEDICAL CENTER, MENTAL HEALTH SERVICE (116), DENVER, CO 80220-3808
(303) 399-8020
Mailing address
1055 CLERMONT ST., VA MEDICAL CENTER, MENTAL HEALTH SERVICE (116), DENVER, CO 80220
(303) 399-8020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1750
CO
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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