Individual
DR. LISA MARIE AWEIDA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3000 PEARL ST, SUITE 208, BOULDER, CO 80301-2438
(303) 413-1600
Mailing address
3000 PEARL ST, SUITE 208, BOULDER, CO 80301-2438
(303) 413-1600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2572
CO
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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