Organization
HARMONIZED BRAIN CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS SHEPARD (OWNER/BRAIN HEALTH SPECIALIST)
(719) 661-6422
Entity
Organization
Contact information
Practice address
2149 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-1507
(719) 661-6422
(719) 213-2011
Mailing address
5925 LEHMAN DR, SUITE 5, COLORADO SPRINGS, CO 80918-3425
(719) 661-6422
(719) 213-2011
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
NLC0104292
CO
Other
Enumeration date
03/09/2014
Last updated
09/06/2023
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