| NPI | 1316238611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J REILLY Owner/Sole Proprietor 303-523-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 1407) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2017-10-04 |