| Lakeside Psychological Services, Llc | |
|
3154 Lakeside Dr Apt 103 Grand Junction CO 81506 | |
| (970) 462-7206 | |
| (970) 628-4207 |
| Full Name | Lakeside Psychological Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3154 Lakeside Dr Apt 103, Grand Junction, Colorado |
| Authorized Official Name and Position | Roger Miller (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9704627206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Psychological Services, Llc 915 Lakeside Ct Grand Junction CO 81506-2815 Ph: () - | Lakeside Psychological Services, Llc 3154 Lakeside Dr Apt 103 Grand Junction CO 81506 Ph: (970) 462-7206 |
| NPI Number | 1568948776 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568948776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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