Organization
NEUROWORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BRUNELLE (CLINICAL NEUROPSYCHOLOGIST/OWNER)
(720) 744-0577
Entity
Organization
Contact information
Practice address
255 CANYON BLVD STE 200, BOULDER, CO 80302-4954
(303) 945-5311
Mailing address
255 CANYON BLVD STE 200, BOULDER, CO 80302-4954
(720) 744-0577
(720) 638-3699
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3125
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84575379
—
CO
Enumeration date
10/26/2016
Last updated
02/04/2022
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