NPI | 1710083969 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE C WINSTON President 303-444-1655 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 1314) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 1314) |
103T00000X Psychologist (Licence: CO 1314) | |
Enumeration Date | 2006-09-15 |
Last Update Date | 2015-12-17 |