| Joy E Dejong Lago, PHD | |
|
2315 E Harmony Rd, Suite 110, Fort Collins, CO 80528-8620 | |
| (970) 482-4373 | |
| (970) 484-5682 |
| Full Name | Joy E Dejong Lago |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 18 Years |
| Location | 2315 E Harmony Rd, Fort Collins, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699902668 | NPI | - | NPPES |
| 97183229 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301013636 (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0003795 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Joy E Dejong Lago, PHD 2315 E Harmony Rd, Suite 110, Fort Collins, CO 80528-8620 Ph: (970) 482-4373 | Joy E Dejong Lago, PHD 2315 E Harmony Rd, Suite 110, Fort Collins, CO 80528-8620 Ph: (970) 482-4373 |
Lauren Victoria Cruz, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3555 Stanford Rd Ste 140, Fort Collins, CO 80525 Phone: 970-829-1128 | |
Molly Mclaren, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4216 Suncrest Ct, Fort Collins, CO 80525 Phone: 970-235-2072 | |
Steven C Pote, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2509 Research Blvd, Fort Collins, CO 80526 Phone: 970-224-1550 | |
Keeley Hynes, PHD, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 363 W Drake Rd, Fort Collins, CO 80526 Phone: 970-465-2977 | |
Dr. Saul Hopper, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 503 Remington St, Suite 102, Fort Collins, CO 80524 Phone: 970-221-0118 Fax: 970-221-0014 | |
Dr. Susan Kitchens, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 323 W Drake Rd, Suite 124, Fort Collins, CO 80526 Phone: 970-495-4686 Fax: 970-377-1230 | |
Dr. Sherry Elizabeth Gardner, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1217 Riverside Ave, Fort Collins, CO 80524 Phone: 970-494-4200 |