| Innovative Neurofeedback Therapy | |
|
4529 Stover St Fort Collins CO 80525-3261 | |
| (970) 234-1147 | |
| Not Available |
| Full Name | Innovative Neurofeedback Therapy |
|---|---|
| Speciality | Counselor |
| Location | 4529 Stover St, Fort Collins, Colorado |
| Authorized Official Name and Position | Jennifer Petersen (PRESIDENT) |
| Authorized Official Contact | 9702341147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Neurofeedback Therapy 4213 Durango Pl Fort Collins CO 80526-4103 Ph: (970) 234-1147 | Innovative Neurofeedback Therapy 4529 Stover St Fort Collins CO 80525-3261 Ph: (970) 234-1147 |
| NPI Number | 1518356484 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 01/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518356484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2179 (Colorado) | Primary |
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