Icn Pllc

  • 1487192076 NPI Number
  • |
  • Actived: 7 years ago
  • |
Icn Pllc is a health care provider based in Boulder, CO. The NPI Number is 1487192076 and it has been active since 7 years ago. The specialty is Clinical Neuropsychologist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Clinical Neuropsychologist services, Icn Pllc is an excellent option. We are here to help you get the care you need.

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Overview of Icn Pllc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 02/03/2017
  • Last updated: 01/02/2019

Primary Scrop of Practice

  • Taxonomy Code: 103G00000X
  • Specialty: Clinical Neuropsychologist
  • License Number: 2998
  • License State: CO

Provider Mailing Address

  • Address: 5455 Lee Hill Dr
    Boulder, CO 80302
  • Phone: 720-552-2995
  • Fax:

Provider Practice Location

  • Address: 255 Canyon Blvd Ste 300-f
    Boulder, CO 80302
  • Phone: 972-570-8200
  • Fax: 972-402-5621

Authorized Official

  • Name: Bobby Lee Gant PHD
  • Position/Title: President
  • Telephone Number: 720-552-2995

Scope of Practice

  • Taxonomy Code: 103G00000X
  • Specialty: Clinical Neuropsychologist
  • License Number: 2998
  • License State: CO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 9000167953
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CO
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Icn Pllc?
  • A: The npi number for Icn Pllc is 1487192076.
  • Q: What are Icn Pllc's specialties?
  • A: Icn Pllc's specialties are Clinical Neuropsychologist and different specialities.
  • Q: Where is Icn Pllc business practice location?
  • A: Icn Pllc business practice location is 255 Canyon Blvd Ste 300-f, Boulder, CO 80302.
  • Q: How to contact Icn Pllc?
  • A: You can contact Icn Pllc via 972-570-8200.
  • Q: What is the authorized official for Icn Pllc?
  • A: The authorized office name is Bobby Lee Gant PHD with position/title is President and you can reach the authorized official via phone number 7205522995.
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