| Boulder Neuropsychological Services | |
|
1800 30th St Boulder CO 80301-1088 | |
| (303) 351-2553 | |
| (303) 515-6499 |
| Full Name | Boulder Neuropsychological Services |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1800 30th St, Boulder, Colorado |
| Authorized Official Name and Position | Tobin Joshua Haas (OWNER) |
| Authorized Official Contact | 5109080980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Neuropsychological Services Po Box 1056 Boulder CO 80306-1056 Ph: (510) 908-0980 | Boulder Neuropsychological Services 1800 30th St Boulder CO 80301-1088 Ph: (303) 351-2553 |
| NPI Number | 1710607031 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 07/26/2024 |
| Certification Date | 07/26/2024 |
| Medicare PECOS PAC ID | 6406229558 |
|---|---|
| Medicare Enrollment ID | O20230310001379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710607031 | NPI | - | NPPES |
| Provider Name | Tobin Joshua Haas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629473186 PECOS PAC ID: 7315310471 Enrollment ID: I20230310001483 |
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