NPI 1508331257

Carolyn Lastra Black, PSYDLP

Practitioner Clinical Psychologist Brighton, CO

Practice location

Address: 992 S 4th Ave Unit 100-218, Brighton, CO 80601-6802
Phone: (720) 515-4291

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY.0006222 (CO)

Other Psychologist providers in Colorado →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY.0006222 (CO)

Registry record

NPI: 1508331257
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2018
Record last updated: 7 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.