| Liza York, Ph.d., Lppc | |
|
703 3rd Ave Suite C Longmont CO 80501-5996 | |
| (303) 875-4158 | |
| (303) 776-7631 |
| Full Name | Liza York, Ph.d., Lppc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 703 3rd Ave, Longmont, Colorado |
| Authorized Official Name and Position | Liza L York (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3038754158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liza York, Ph.d., Lppc 703 3rd Ave Suite C Longmont CO 80501-5996 Ph: (303) 875-4158 | Liza York, Ph.d., Lppc 703 3rd Ave Suite C Longmont CO 80501-5996 Ph: (303) 875-4158 |
| NPI Number | 1750579579 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 10/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750579579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2475 (Colorado) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2475 (Colorado) | Secondary |
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