Organization
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Active
Parent organization
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Authorized official
MARINA SHEPEL (CONTRACTING AND CREDENTIALING MANAG)
(425) 214-9321
Entity
Organization
Contact information
Practice address
1 E ERIE ST STE 242, CHICAGO, IL 60611-2737
(877) 825-8584
Mailing address
7351 E LOWRY BLVD STE 200, DENVER, CO 80230-6083
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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