NPI | 1184176067 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY BRUNELLE Clinical Neuropsychologist/Owner 720-744-0577 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 3125) |
Enumeration Date | 2016-10-26 |
Last Update Date | 2022-02-04 |