| Colorado Neuropsychology Services Llc | |
|
255 Canyon Blvd Ste. 200 Boulder CO 80302-4979 | |
| (303) 474-4055 | |
| (720) 638-3699 |
| Full Name | Colorado Neuropsychology Services Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 255 Canyon Blvd, Boulder, Colorado |
| Authorized Official Name and Position | Elise Ginsburg Stevens (LICENSED PSYCHOLOGIST - OWNER) |
| Authorized Official Contact | 3034744055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Neuropsychology Services Llc 255 Canyon Blvd Ste. 200 Boulder CO 80302-4979 Ph: (303) 474-4055 | Colorado Neuropsychology Services Llc 255 Canyon Blvd Ste. 200 Boulder CO 80302-4979 Ph: (303) 474-4055 |
| NPI Number | 1366802308 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 03/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366802308 | NPI | - | NPPES |
| 659509 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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