| Colorado Neurofitness Llc | |
|
6949 Highway 73 Ste 11 Evergreen CO 80439-6238 | |
| (510) 282-8953 | |
| Not Available |
| Full Name | Colorado Neurofitness Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6949 Highway 73 Ste 11, Evergreen, Colorado |
| Authorized Official Name and Position | Margaret Kimball-hodges (OWNER) |
| Authorized Official Contact | 5102828953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Neurofitness Llc Po Box 72 Conifer CO 80433-0072 Ph: (510) 282-8953 | Colorado Neurofitness Llc 6949 Highway 73 Ste 11 Evergreen CO 80439-6238 Ph: (510) 282-8953 |
| NPI Number | 1538941125 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 7416398433 |
|---|---|
| Medicare Enrollment ID | O20240508002354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538941125 | NPI | - | NPPES |
| Provider Name | Margaret A Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306969704 PECOS PAC ID: 8325489347 Enrollment ID: I20240508002990 |
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