| NPI | 1700819497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY F. MCMILLAN Partner 720-468-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2539) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 2506) |
| 103TC0700X Psychologist, Clinical (Licence: CO 2506) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2013-07-22 |