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Individual

DR. JACOB MARC POMERANTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
8670 WOLFF CT, SUITE 130, WESTMINSTER, CO 80031-6956
(720) 971-9369
(303) 430-5306
Mailing address
8670 WOLFF CT, SUITE 130, WESTMINSTER, CO 80031-6956
(720) 971-9369
(303) 430-5306

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2064
CO
103TC0700X
Clinical Psychologist
2064
CO
103TR0400X
Rehabilitation Psychologist
Primary
2064
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04142246
CO
05
07020647
CO
Enumeration date
01/19/2007
Last updated
09/11/2025
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