| Lisa Townsend Psyd Inc. | |
|
101 N Cascade Ave Ste 4 Colorado Springs CO 80903 | |
| (719) 290-6672 | |
| Not Available |
| Full Name | Lisa Townsend Psyd Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 101 N Cascade Ave Ste 4, Colorado Springs, Colorado |
| Authorized Official Name and Position | Lisa Townsend (OWNER) |
| Authorized Official Contact | 7196355528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Townsend Psyd Inc. 101 N Cascade Ave Ste 4 Colorado Springs CO 80903-1410 Ph: (719) 290-6672 | Lisa Townsend Psyd Inc. 101 N Cascade Ave Ste 4 Colorado Springs CO 80903 Ph: (719) 290-6672 |
| NPI Number | 1578950713 |
|---|---|
| Provider Enumeration Date | 04/24/2015 |
| Last Update Date | 02/05/2019 |
| Medicare PECOS PAC ID | 4082952734 |
|---|---|
| Medicare Enrollment ID | O20190205002536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578950713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa M Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871980821 PECOS PAC ID: 1254651177 Enrollment ID: I20150518000194 |
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