Organization
COLORADO NEUROPSYCHOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISE GINSBURG STEVENS PH. D. (LICENSED PSYCHOLOGIST - OWNER)
(303) 474-4055
Entity
Organization
Contact information
Practice address
255 CANYON BLVD, STE. 200, BOULDER, CO 80302-4979
(303) 474-4055
(720) 638-3699
Mailing address
255 CANYON BLVD, STE. 200, BOULDER, CO 80302-4979
(303) 474-4055
(720) 638-3699
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
659509
—
CO
Enumeration date
03/03/2016
Last updated
03/16/2016
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