Organization
2 PEAKS CENTER FOR NEURO PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE AGUILAR (CREDENTIALING ACCOUNT MANAGER)
(210) 714-9823
Entity
Organization
Contact information
Practice address
2001 S SHIELDS STREET, BLDG A, FORT COLLINS, CO 80526-1827
(970) 797-0446
(970) 631-8343
Mailing address
15873 LINTON LANE, WELLINGTON, CO 80549-2134
(970) 797-0446
(970) 631-8343
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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