| NPI | 1760685853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M GARD Licensed Clinical Psychologist 720-482-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 2264) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-09-06 |