| Theresa M. Gisi, Llc | |
|
6270 Lehman Dr 200b Colorado Springs CO 80918-1469 | |
| (719) 641-0222 | |
| (719) 623-0008 |
| Full Name | Theresa M. Gisi, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6270 Lehman Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Theresa Mae Gisi (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 7196410222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa M. Gisi, Llc 17730 Smugglers Rd Monument CO 80132-8517 Ph: (719) 641-0222 | Theresa M. Gisi, Llc 6270 Lehman Dr 200b Colorado Springs CO 80918-1469 Ph: (719) 641-0222 |
| NPI Number | 1437560760 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437560760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2396 (Colorado) | Primary |
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