Elyse Marie Manteris, Ph.D., LP
Psychologist in Lafayette, CO. Individual provider (NPI-1).
NPI number1457729329
StatusActive
Last updated in NPPESSep 9, 2015
Details
- NPI
- 1457729329
- Entity type
- Individual (NPI-1)
- Name
- Elyse Marie Manteris
- Credential
- Ph.D., LP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2015
- Last updated
- Sep 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PSY.0004261 | CO | Yes |
Practice location
582 Beauprez AveLafayette, CO 80026-3455
Phone 303-919-8459
Mailing address
582 Beauprez AveLafayette, CO 80026-3455
Phone 303-919-8459
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