Organization · NPI-2

2 Peaks Center For Neuro Psychology

Psychologist, Counseling · Fort Collins, CO

NPI number1689102568
StatusActive
Last updated in NPPESMay 23, 2017

Details

NPI
1689102568
Entity type
Organization (NPI-2)
Legal business name
2 Peaks Center For Neuro Psychology
Organization subpart
No
Enumeration date
May 23, 2017
Last updated
May 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC1900X Psychologist, Counseling––Yes
103G00000X Clinical Neuropsychologist––

Practice location

2001 S Shields Street
Bldg A
Fort Collins, CO 80526-1827

Phone 970-797-0446 · Fax 970-631-8343

Mailing address

15873 Linton Lane
Wellington, CO 80549-2134

Phone 970-797-0446 · Fax 970-631-8343

Authorized official

Annette Aguilar
Credentialing Account Manager
2107149823

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