| NPI | 1083354633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KOEPF Billing Contracting Manager 303-444-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |