Organization
LISA M. VONDERHAAR, PH.D.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARET VONDERHAAR PH.D. (OWNER/PSYCHOLOGIST)
(970) 531-0574
Entity
Organization
Contact information
Practice address
10291 CHIPPEWA CIR, SALIDA, CO 81201-9596
(970) 531-0574
Mailing address
10291 CHIPPEWA CIR, SALIDA, CO 81201-9596
(970) 531-0574
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2106
CO
Other
Enumeration date
04/22/2013
Last updated
11/09/2022
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