| Pathlight Neuropsychiatric Center Llc | |
|
8101 E Lowry Blvd Ste 110b Denver CO 80230-7195 | |
| (877) 825-8584 | |
| Not Available |
| Full Name | Pathlight Neuropsychiatric Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 8101 E Lowry Blvd Ste 110b, Denver, Colorado |
| Authorized Official Name and Position | Marina Shepel (CONTRACTING AND CREDENTIALING MANAG) |
| Authorized Official Contact | 4252149321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathlight Neuropsychiatric Center Llc 7351 E Lowry Blvd Ste 200 Denver CO 80230-6083 Ph: () - | Pathlight Neuropsychiatric Center Llc 8101 E Lowry Blvd Ste 110b Denver CO 80230-7195 Ph: (877) 825-8584 |
| NPI Number | 1457008427 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457008427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Secondary |
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