| Boulder Neuropsychiatry | |
|
2501 Walnut St Suite 108 Boulder CO 80302-5751 | |
| (720) 223-7877 | |
| (888) 873-4912 |
| Full Name | Boulder Neuropsychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2501 Walnut St, Boulder, Colorado |
| Authorized Official Name and Position | Kristin M Brousseau (PRESIDENT, SOLE PROPRIETOR) |
| Authorized Official Contact | 7209386720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Neuropsychiatry 2501 Walnut St Suite 108 Boulder CO 80302-5751 Ph: (720) 223-7877 | Boulder Neuropsychiatry 2501 Walnut St Suite 108 Boulder CO 80302-5751 Ph: (720) 223-7877 |
| NPI Number | 1104069335 |
|---|---|
| Provider Enumeration Date | 04/17/2009 |
| Last Update Date | 04/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104069335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 40799 (Colorado) | Primary |
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