| NPI | 1033233176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE E. BOWEN Owner 970-245-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-11-24 |