| James C Stewart Phd Professional Corporation | |
|
2020 Bramblwood Ln Colorado Springs CO 80920-1588 | |
| (719) 244-5652 | |
| Not Available |
| Full Name | James C Stewart Phd Professional Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2020 Bramblwood Ln, Colorado Springs, Colorado |
| Authorized Official Name and Position | James Christopher Stewart (PRESIDENT) |
| Authorized Official Contact | 7192445652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James C Stewart Phd Professional Corporation 2020 Bramblwood Ln Colorado Springs CO 80920-1588 Ph: (719) 244-5652 | James C Stewart Phd Professional Corporation 2020 Bramblwood Ln Colorado Springs CO 80920-1588 Ph: (719) 244-5652 |
| NPI Number | 1316252521 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 08/11/2010 |
| Medicare PECOS PAC ID | 8426245952 |
|---|---|
| Medicare Enrollment ID | O20101209001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316252521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1696 (Colorado) | Primary |
| Provider Name | James C Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770690794 PECOS PAC ID: 1557425873 Enrollment ID: I20090202000437 |
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