Doctor Name: | LISA VANDER GRIEND |
NPI Number: | 1588802607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 6700 W 44th Ave Wheat Ridge, CO - 800334732 |
Business Phone Number: | 3034208080 |
Business Fax Number: | 3034209299 |
Mailing Address: | 6439 S Vinewood St, Apt #303 LITTLETON |
State: | CO |
Postal Code: | 801201829 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/27/2009 |
NPI Last Update Date: | 01/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |