Individual
JESSICA BOER CASTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 E HAMPDEN AVE, SUITE 360, ENGLEWOOD, CO 80113-2780
(303) 781-4485
(303) 306-7753
Mailing address
PO BOX 17528, DENVER, CO 80217-0528
(405) 682-3303
(405) 384-6793
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3756
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY.0003756
COLORADO MEDICAL LICENSE
CO
Enumeration date
08/06/2007
Last updated
07/07/2020
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