NPI | 1881815660 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE REA Senior Clinical Manager 303-520-0489 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2007-05-01 |
Last Update Date | 2021-04-01 |