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LIGHTHOUSE CLINICAL SERVICES LLC

Clinical Neuropsychologist

Colorado Springs, Colorado

Provider NPI: 1871788349

Organization Information:
Organization Name:  LIGHTHOUSE CLINICAL SERVICES LLC
Organization is not Subpart
Authorized Official:  BOB  GANT  PRESIDENT  719-6363784

Practice Location:
2500 N CIRCLE DR  COLORADO SPRINGS, CO 80909 US
Tel: 719-636-3784  Fax: 719-630-3211

Business Mailing Address:
2500 N CIRCLE DR  COLORADO SPRINGS, CO 80909 US
Tel: 719-636-3784  Fax: 719-630-3211

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX1788
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CO2998

Other Provider Identifiers:

IssuerNumberStateType
STATE BOARD OF EXAMINERS1788TX01
DORA2998CO01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS CO - Page 1

1 Clinical Psychologist / Neuropsychologist Colorado Springs, CO, USA D in Neuropsychology, Counseling Psychology, Clinical Psychology or Psychology * At leases 1 - 3 years experience in the clinical setting * Experience diagnosing Autism and Learning Disorder and ...... Apply Now>>



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