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COLORADO NEUROPSYCHOLOGY SERVICES LLC NPI 1366802308


NPI Information

NPI: 1366802308
Provider Name: COLORADO NEUROPSYCHOLOGY SERVICES LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
255 CANYON BLVD
STE. 200
BOULDER, CO
ZIP 80302
Phone: (303) 474-4055
Get Directions

COLORADO NEUROPSYCHOLOGY SERVICES LLC is a clinical neuropsychologist in Boulder, CO. 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. COLORADO NEUROPSYCHOLOGY SERVICES LLC NPI is 1366802308. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

255 CANYON BLVD
STE. 200
BOULDER, CO
ZIP 80302-979
Phone: (303) 474-4055
Fax: (720) 638-3699

The provider's authorized official is Elise Ginsburg Stevens .
The authorized official title is Licensed Psychologist - Owner and has the following contact phone number (303) 474-4055.

The enumeration date for this NPI number is 3/3/2016 and was last updated on 3/16/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1659509MEDICAIDCOLORADO

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: 11/14/2023

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