| NPI | 1396996484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN M. MOELLER Owner 719-442-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 1558) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2011-12-29 |