| Neuropsychological Consults Of Northern Colorado Llc | |
|
155 Boardwalk Dr Suite 418 Fort Collins CO 80525-3040 | |
| (970) 631-7133 | |
| Not Available |
| Full Name | Neuropsychological Consults Of Northern Colorado Llc |
|---|---|
| Speciality | Psychologist |
| Location | 155 Boardwalk Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Barbara Lynne St Clair (OWNER) |
| Authorized Official Contact | 9706317133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological Consults Of Northern Colorado Llc Po Box 7219 Gillette WY 82717-7219 Ph: (970) 631-7133 | Neuropsychological Consults Of Northern Colorado Llc 155 Boardwalk Dr Suite 418 Fort Collins CO 80525-3040 Ph: (970) 631-7133 |
| NPI Number | 1851684013 |
|---|---|
| Provider Enumeration Date | 05/20/2011 |
| Last Update Date | 10/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851684013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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