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Clinical Neuropsychologist

Aurora, Colorado

Provider NPI: 1225074594

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
13123 E 16TH AVE  AURORA, CO 80045 US
Tel: 720-777-1234  Fax: --

Business Mailing Address:
PO BOX 876  AURORA, CO 80040 US
Tel: 303-493-7000  Fax: --

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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