Individual
ANAHITA LAKE-KHOSRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0005846
CO
103TC0700X
Clinical Psychologist
PSY.0005846
CO
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/14/2017
Last updated
11/19/2025
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