Lighthouse Clinical Services Llc in Colorado Springs - Clinical Neuropsychologist
Lighthouse Clinical Services Llc - NPI 1871788349
Lighthouse Clinical Services Llc is a Clinical Neuropsychologist in Colorado Springs, Colorado. Lighthouse Clinical Services Llc practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Lighthouse Clinical Services Llc is 1871788349. The last update date is 2007-09-07.
Lighthouse Clinical Services Llc's current location address is 2500 N Circle Dr, Colorado Springs, Colorado. You can contact this provider via phone number 7196363784 and fax number 7196303211. The mailing address for Lighthouse Clinical Services Llc is 2500 N Circle Dr, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lighthouse Clinical Services Llc |
|---|---|
| Address | 2500 N Circle Dr, Colorado Springs, Colorado |
| Phone Number | 7196363784 |
| Fax Number | 7196303211 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gant Bob |
| Credentials | PHD |
| Telephone Number | 7196363784 |
NPI Number Detail
| NPI Number | 1871788349 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 2500 N Circle Dr |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809091184 |
| Phone Number | 7196363784 |
| Fax Number | 7196303211 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 1788 |
|
Definition: 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 th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2998 | CO | DORA | |
| 1788 | TX | STATE BOARD OF EXAMINERS |
Post Comment/ Review Below
What is the unique identifier code issued to Lighthouse Clinical Services Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Lighthouse Clinical Services Llc has been assigned the NPI (National Provider Identifier) 1871788349. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Lighthouse Clinical Services Llc?
The Lighthouse Clinical Services Llc is physically situated at 2500 N Circle Dr, in the city of Colorado Springs, state of CO, with the postal code 809091184.
What is the Lighthouse Clinical Services Llc's area of specialization and corresponding taxonomy classification?
The Lighthouse Clinical Services Llc's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
When did the Lighthouse Clinical Services Llc receive its 1871788349?
The Lighthouse Clinical Services Llc was issued its 1871788349 on 2007-09-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Lighthouse Clinical Services Llc most recently updated or revised?
The information pertaining to Lighthouse Clinical Services Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-07.
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