Provider Demographics
NPI:1457684938
Name:LASSEN, ELIZABETH WHITLEY (PSYD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:WHITLEY
Last Name:LASSEN
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:80 HEALTH PARK DR STE 270
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-4644
Mailing Address - Country:US
Mailing Address - Phone:303-661-4100
Mailing Address - Fax:720-321-8969
Practice Address - Street 1:80 HEALTH PARK DR STE 270
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-4644
Practice Address - Country:US
Practice Address - Phone:303-661-4100
Practice Address - Fax:720-321-8969
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25272103TC0700X
COPSY.4381103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical