Organization
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Active
Parent organization
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Authorized official
MARINA SHEPEL (CONTRACTING & CREDENTIALING MANAGE)
(425) 214-9321
Entity
Organization
Contact information
Practice address
5120 LEGACY DR STE 150, PLANO, TX 75024-3400
(877) 825-8584
Mailing address
7351 E LOWRY BLVD STE 200, DENVER, CO 80230-6083
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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