Organization
NEURO CARE OF THE ROCKIES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA FREITAG (BILLING MANAGER)
(970) 686-0970
Entity
Organization
Contact information
Practice address
24 MOUNTAIN LAUREL DR, LITTLETON, CO 80127-2215
(303) 932-9404
(303) 932-2160
Mailing address
24 MOUNTAIN LAUREL DR, LITTLETON, CO 80127-2215
(303) 932-9404
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2197
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04021234
—
CO
Enumeration date
08/23/2006
Last updated
12/13/2011
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