| NPI | 1538941125 |
|---|---|
| Doing Business As | COLORADO NEUROFITNESS |
| Entity Type | Organization |
| Authorized Contact | MARGARET KIMBALL-HODGES Owner 510-282-8953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TE1100X Psychologist, Exercise & Sports | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-04-16 |