| NPI | 1417326232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN STAUDENMAYER Director 303-758-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 684) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |