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Organization

COLORADO SPRINGS NEUROLOGICAL ASSOCIATES, PC

Active
Parent organization
COLORADO SPRINGS NEUROLOGICAL ASSOCIATES, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLORADO SPRINGS NEUROLOGICAL ASSOCIATES, PC
Authorized official
MARY FRAILEY (HR)
(719) 389-1108
Entity
Organization

Contact information

Practice address
2312 N NEVADA AVE STE 100, COLORADO SPRINGS, CO 80907-5307
(719) 473-3272
(719) 389-1191
Mailing address
2312 N NEVADA AVE STE 100, COLORADO SPRINGS, CO 80907-5307
(719) 473-3272

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TC0700X
Clinical Psychologist

Other

Enumeration date
05/24/2022
Last updated
05/24/2022
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