Individual
MS. LISA M DROTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2229
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11637025
CAQH PIN
CO
05
—
42425565
—
CO
01
—
PSY.0002229
PROFESSIONAL LICENSE
CO
Enumeration date
02/16/2006
Last updated
10/28/2015
Update your record
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