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Individual

DR. LISA TOWNSEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
101 N CASCADE AVE, STE 4, COLORADO SPGS, CO 80903
(719) 635-5528
Mailing address
101 N CASCADE AVE, STE 4, COLORADO SPRINGS, CO 80903-1410
(719) 635-5528
(719) 448-9467

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
0004219
CO
103TB0200X
Cognitive & Behavioral Psychologist
0004219
CO
103TC0700X
Clinical Psychologist
Primary
0004219
CO
103TC2200X
Clinical Child & Adolescent Psychologist
0004219
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004219
COLORADO LICENSED PSYCHOLOGIST
CO
Enumeration date
04/16/2015
Last updated
01/29/2019
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