Organization
COLORADO NEUROFITNESS LLC
Active
Other names
Colorado Neurofitness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET KIMBALL-HODGES PSY (OWNER)
(510) 282-8953
Entity
Organization
Contact information
Practice address
6949 HIGHWAY 73 STE 11, EVERGREEN, CO 80439-6238
(510) 282-8953
Mailing address
PO BOX 72, CONIFER, CO 80433-0072
(510) 282-8953
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
10/18/2023
Last updated
04/16/2024
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