ALISA LYNN SHANKS

BOULDER, CO
NPI1598955429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CO  2787)
Enumeration Date2007-07-26
Last Update Date2007-07-26
Business Address
Dr. ALISA LYNN SHANKS Ph.D.
WARDENBURG STUDENT HEALTH CENTER - PHP UCB 119
BOULDER, CO 80309-0001
Phone number: 303-492-2038
Mailing Address
Dr. ALISA LYNN SHANKS Ph.D.
PO BOX 7043
BROOMFIELD, CO 80021-0018
Phone number: 303-492-2038
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