Bobby Lee Gant is a Rehabilitation in Boulder, Colorado. Bobby Lee Gant practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Bobby Lee Gant is 1326104415. The last update date is 2018-12-28.
Bobby Lee Gant's current location address is 255 Canyon Blvd Ste 300f, Boulder, Colorado. You can contact this provider via phone number 9725708200 and fax number 9724025621. The mailing address for Bobby Lee Gant is 255 Canyon Blvd Ste 300f, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bobby Lee Gant |
|---|---|
| Address | 255 Canyon Blvd Ste 300f, Boulder, Colorado |
| Phone Number | 9725708200 |
| Fax Number | 9724025621 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1326104415 |
|---|---|
| Provider Enumeration Date | 2006-12-31 |
| Last Updated Date | 2018-12-28 |
Provider Mailing Address Detail
| Address | 255 Canyon Blvd Ste 300f |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 80302 |
| Phone Number | 9725708200 |
| Fax Number | 9724025621 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 103Tr0400X |
| Licence No | 2998 |
|
Definition: A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2998 | CO | STATE LICENSE | |
| 21788 | TX | STATE LICENSE | |
| 9000168090 | CO | -- |
Post Comment/ Review Below
Could you share the physical location details of Bobby Lee Gant?
The Bobby Lee Gant is situated at 255 Canyon Blvd Ste 300F, in the city of Boulder, state of CO, with the zip code 80302.
Could you please share the complete physical address where Bobby Lee Gant is geographically located?
The Bobby Lee Gant is physically situated at the following location: 255 Canyon Blvd Ste 300F, Boulder, CO, 80302.
What is Bobby Lee Gant's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bobby Lee Gant is Rehabilitation, and the taxonomy code that classifies this field of practice is 103Tr0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326104415 to Bobby Lee Gant?
The Centers for Medicare & Medicaid Services originally issued the 1326104415 to Bobby Lee Gant on 2006-12-31.
When was the information regarding Bobby Lee Gant, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bobby Lee Gant, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-12-28.
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