Individual
DR. ELIZABETH MARILYN MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1333 IRIS AVE, COMMUNITY INFANT PROGRAM, BOULDER, CO 80304-2226
(720) 562-0557
Mailing address
1333 IRIS AVE, COMMUNITY INFANT PROGRAM, BOULDER, CO 80304-2226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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