| NPI | 1437560760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MAE GISI Neuropsychologist 719-641-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 2396) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |