ICN PLLC

BOULDER, CO
NPI1487192076
Doing Business AsINSTITUTE FOR CLINICAL NEUROSCIENCES
Entity TypeOrganization
Authorized ContactBOBBY LEE GANT
President
720-552-2995
Organization Subpart ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: CO  2998)
Enumeration Date2017-02-03
Last Update Date2019-01-02
Business Address
ICN PLLC
255 CANYON BLVD STE 300-F
BOULDER, CO 80302-4979
Phone number: 972-570-8200
Mailing Address
ICN PLLC
5455 LEE HILL DR
BOULDER, CO 80302-9305
Phone number: 720-552-2995