Neurobehavioral & Rehabilitation Psychology Services | |
601 E Hampden Ave Ste 420 Englewood CO 80113-2770 | |
(303) 523-3023 | |
(303) 523-3023 |
Full Name | Neurobehavioral & Rehabilitation Psychology Services |
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Speciality | Clinical Neuropsychologist |
Location | 601 E Hampden Ave Ste 420, Englewood, Colorado |
Authorized Official Name and Position | Kevin J Reilly (OWNER/SOLE PROPRIETOR) |
Authorized Official Contact | 3035233023 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurobehavioral & Rehabilitation Psychology Services 601 East Hampden Avenue Suite 420 Englewood CO 80113 Ph: (303) 523-3023 | Neurobehavioral & Rehabilitation Psychology Services 601 E Hampden Ave Ste 420 Englewood CO 80113-2770 Ph: (303) 523-3023 |
NPI Number | 1316238611 |
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Provider Enumeration Date | 04/21/2011 |
Last Update Date | 10/04/2017 |
Medicare PECOS PAC ID | 6204070592 |
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Medicare Enrollment ID | O20130927000053 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316238611 | NPI | - | NPPES |
07014079 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 1407 (Colorado) | Primary |
Provider Name | Kevin J Reilly |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1528087244 PECOS PAC ID: 8325086747 Enrollment ID: I20050418000548 |
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