| Neuroworks Llc | |
|
255 Canyon Blvd Ste 200 Boulder CO 80302-4954 | |
| (303) 945-5311 | |
| Not Available |
| Full Name | Neuroworks Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 255 Canyon Blvd Ste 200, Boulder, Colorado |
| Authorized Official Name and Position | Timothy Brunelle (CLINICAL NEUROPSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7207440577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroworks Llc 255 Canyon Blvd Ste 200 Boulder CO 80302-4954 Ph: (720) 744-0577 | Neuroworks Llc 255 Canyon Blvd Ste 200 Boulder CO 80302-4954 Ph: (303) 945-5311 |
| NPI Number | 1184176067 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184176067 | NPI | - | NPPES |
| 84575379 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 3125 (Colorado) | Primary |
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