DR. JOSE MARCOS LAFOSSE PH.D. NPI 1306057260

NPI Information

NPI: 1306057260
Provider Name: DR. JOSE MARCOS LAFOSSE, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4080 CENTRE ST STE 104
SAN DIEGO, CA
ZIP 92103
Phone: (858) 964-0722
Get Directions

DR. Jose Marcos Lafosse, PH.D. is a clinical neuropsychologist in San Diego, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Jose Marcos Lafosse, PH.D. NPI is 1306057260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4080 CENTRE ST STE 104
SAN DIEGO, CA
ZIP 92103-655
Phone: (858) 964-0722
Fax: (866) 437-0375

The NPI 1306057260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 8/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	2278	COLORADO	No
2	103TC0700X	Psychologist	Clinical	2278	COLORADO	No
3	103G00000X	Clinical Neuropsychologist		2278	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2278	OTHER	COLORADO	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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