Organization · Type 2 NPI
Icn PLLC
Clinical Neuropsychologist · Boulder, CO
Practice location
255 Canyon Blvd Ste 300-F
Boulder, CO 80302-4979
Fax (972) 402-5621
Mailing address
5455 Lee Hill Dr
Boulder, CO 80302-9305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 2998 (CO) |
Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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About NPI 1487192076
Icn PLLC's National Provider Identifier is 1487192076, issued on Feb 3, 2017. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Boulder, CO. The record was last updated on Jan 2, 2019.