Organization
NEUROFEEDBACK COLORADO SPRINGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY INMAN PSYD (LICENSED PSYCHOLOGIST)
(712) 209-0399
Entity
Organization
Contact information
Practice address
1283 KELLY JOHNSON BLVD, COLORADO SPRINGS, CO 80920-3925
(719) 639-2928
(719) 203-6847
Mailing address
1283 KELLY JOHNSON BLVD, COLORADO SPRINGS, CO 80920-3925
(719) 639-2928
(719) 203-6847
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4106
CO
103TC0700X
Clinical Psychologist
1577
HI
103TC0700X
Clinical Psychologist
Primary
4106
CO
103TC2200X
Clinical Child & Adolescent Psychologist
4106
CO
Other
Enumeration date
12/28/2016
Last updated
12/18/2020
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