Organization
NEUROPSYCHOLY OF COLORADO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMMY LYNN CHICOTA PHD (PRESIDENT)
(303) 880-7154
Entity
Organization
Contact information
Practice address
1776 RACE ST, #307, DENVER, CO 80206-1159
(303) 880-7154
Mailing address
1776 RACE ST, #307, DENVER, CO 80206-1159
(303) 880-7154
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20091576903
CO
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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