| NPI | 1356367197 |
|---|---|
| Other Name | KATHLEEN LAUREN |
| Entity Type | Organization |
| Authorized Contact | JESSICA L FREITAG Billing Agent 970-686-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 1990) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |