DR. LISA ANN MCCLUN


Address: 447 W Columbia Ave, Telluride, CO 81435-9448
Phone: 9707080208

DR. LISA ANN MCCLUN (NPI# 1427315613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427315613
Entity Type Individual
Full Name DR. LISA ANN MCCLUN
Credential PH.D.
Practice Address 447 W Columbia Ave
Telluride
CO 81435-9448
Mailing Address Po Box 305
Placerville
CO 81430-0305
Practice Telephone 9707080208
Mailing Telephone 9707080208
Enumeration Date 2012-04-12
Last Update Date 2012-04-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
2807 CO Behavioral Health & Social Service Providers

Office Location

Street Address 447 W COLUMBIA AVE
City TELLURIDE
State CO
Zip Code 81435-9448

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1841757028 Elevated Dental Dentist 101 E Colorado Ave, Suite 202, Telluride, CO 81435 2019-02-25
1790255321 Lisa Marie Scott Dental Hygienist 238 E Colorado Ave, Suite 8, Telluride, CO 81435 2018-11-27
1164916250 Erin Armstrong Therapy Social Worker 747 W Pacific Ave, Telluride, CO 81435 2018-06-21
1588166532 Matt Destefano Physical Therapist 317 E Colorado Ave, Balanced Therapy, LLC, Telluride, CO 81435 2018-03-06
1033648993 Christine Rosita Richards Physical Therapist 300 West Colorado Ave, Suite 2b, Telluride, CO 81435 2017-06-05
1972981603 Katrina Rinne Physical Therapist 300 W. Colorado Avenue, Suite 2b, Telluride, CO 81435 2015-05-14
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174099857 I Have A Dream Foundation - Colorado Psychologist Strive Prep - Ruby Hill, 2626 W. Evans Ave, Denver, CO 80219 2018-10-19
1699217778 Bradley Kent Jackson Psychologist 13123 E 16th Ave # 245, Aurora, CO 80045-7106 2016-11-07
1447614383 Lauren Shomaker Psychologist 410 Pitkin St, 1570 Campus Delivery, Fort Collins, CO 80523-1570 2016-04-06
1811301153 Rachel Ahern Psychologist 1298 Peoria St, Aurora, CO 80011-6206 2014-06-15
1942610258 Stephanie Miller Psychologist 150 W 9th Ave Unit 2115, Denver, CO 80204-4045 2014-05-08
1346650454 Maribel Hinojosa Psyd LLC Psychologist 7200 E Dry Creek Rd Ste G208, Centennial, CO 80112-2575 2014-04-29
1891063582 Marcia L Braden Psychologist 214 E Dale St, #110, Colorado Springs, CO 80903-4729 2011-12-08
1245523430 Marcela Torres Psychologist 1440 15th Street, Boulder, CO 80309-7106 2011-05-19
1306150727 Nancy Gary Psychologist 5290 E Yale Cir Ste 207, Denver, CO 80222-6933 2010-07-27
1275856890 Idalia Massa Psychologist 12631 E 17th Ave Rm 3408, Blg: Ao1, Ms: F406, Uc School of Medicine, Aurora, CO 80045-2527 2010-03-10
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Competitor

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City TELLURIDE
Zip Code 81435

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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