| 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 |