| Neuro14 Llc | |
|
2305 E Arapahoe Rd Ste 250 Centennial CO 80122-1548 | |
| (315) 316-1414 | |
| (720) 844-3314 |
| Full Name | Neuro14 Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2305 E Arapahoe Rd Ste 250, Centennial, Colorado |
| Authorized Official Name and Position | Emily Ladigue (OWNER) |
| Authorized Official Contact | 3153161414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro14 Llc 1075 E Fremont Cir S Centennial CO 80122-1459 Ph: () - | Neuro14 Llc 2305 E Arapahoe Rd Ste 250 Centennial CO 80122-1548 Ph: (315) 316-1414 |
| NPI Number | 1972262566 |
|---|---|
| Provider Enumeration Date | 12/11/2021 |
| Last Update Date | 12/11/2021 |
| Certification Date | 12/11/2021 |
| Medicare PECOS PAC ID | 5890188668 |
|---|---|
| Medicare Enrollment ID | O20220201000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972262566 | NPI | - | NPPES |
| 9000199004 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Emily W Ladigue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730565730 PECOS PAC ID: 1658769161 Enrollment ID: I20211102001397 |
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