Organization
PG NEUROPSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J GAGER PH.D. (NEUROPSYCHOLOGIST)
(908) 812-9043
Entity
Organization
Contact information
Practice address
433 MAPLETON AVE APT A, BOULDER, CO 80304-3994
(908) 812-9043
Mailing address
433 MAPLETON AVE APT A, BOULDER, CO 80304-3994
(908) 812-9043
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3224
CO
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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