| Neurocognitive Clinic | |
|
1920 Thomes Ave Ste 310 Cheyenne WY 82001-3545 | |
| (307) 220-9099 | |
| (866) 287-5634 |
| Full Name | Neurocognitive Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 1920 Thomes Ave Ste 310, Cheyenne, Wyoming |
| Authorized Official Name and Position | Steven D Newman (PRESIDENT) |
| Authorized Official Contact | 3072209099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocognitive Clinic 6050 Stetson Hills Blvd Colorado Springs CO 80923-3562 Ph: (307) 220-9099 | Neurocognitive Clinic 1920 Thomes Ave Ste 310 Cheyenne WY 82001-3545 Ph: (307) 220-9099 |
| NPI Number | 1619335627 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/23/2022 |
| Medicare PECOS PAC ID | 2062705098 |
|---|---|
| Medicare Enrollment ID | O20160727002607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619335627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 395 (Wyoming) | Primary |
| Provider Name | Steven D Newman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760543979 PECOS PAC ID: 5092899823 Enrollment ID: I20080303000546 |
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