| NPI | 1417520768 |
|---|---|
| Doing Business As | COLORADO BRAIN INJURY CENTER |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P SHEA Neuropsychologist 720-579-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |