=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093821472
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LESLEY STABINSKY COMPTON PH.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6081 S QUEBEC ST SUITE 103
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80111-4536
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-694-1580
-----------------------------------------------------
Fax | 303-694-3290
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6081 S QUEBEC ST SUITE 103
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80111-4536
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-694-1580
-----------------------------------------------------
Fax | 303-694-3290
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 1909
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------