NPI | 1487192076 |
---|---|
Doing Business As | INSTITUTE FOR CLINICAL NEUROSCIENCES |
Entity Type | Organization |
Authorized Contact | BOBBY LEE GANT President 720-552-2995 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 2998) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2019-01-02 |