Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 3145 | CO |
N | 103T00000X | Psychologist | 3145 | CO |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 3145 | CO |
N | 103G00000X | Clinical Psychologist | 3145 | CO |
N | 103TC0700X | Clinical Psychologist | 3145 | CO |
N | 103TC1900X | Counseling Psychologist | 3145 | CO |
Y | 103TH0004X | Health Psychologist | 3145 | CO |
N | 103TH0100X | Health Service | 3145 | CO |
N | 103TP2701X | Group Psychotherapist | 3145 | CO |
NPI | 1235318809 |
---|---|
Provider Name | Dr. Jana Marie Bolduan Lomax |
First Address | Aurora, CO 80045-0510 |
Second Address | Aurora, CO 80045-7402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2007 |
Last Update Date | 31/10/2007 |