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Icn Pllc
Clinical Neuropsychologist in Boulder, Colorado
NPI 1487192076

Icn Pllc is a Clinical Neuropsychologist based in Boulder, CO. Icn Pllc practices in Boulder, CO. The NPI Number for Icn Pllc is 1487192076 and holds a License No. 2998 (Colorado).

The current practice location address for Icn Pllc is 255 Canyon Blvd Ste 300-F, Boulder, CO and can be reached out via phone at 972-570-8200 and via fax at 972-402-5621.

Location: 255 Canyon Blvd Ste 300-F, Boulder, CO, 80302-9305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487192076
Provider Name
Icn Pllc
Credential
Provider Entity Type
Organization
Address
255 Canyon Blvd Ste 300-F, Boulder, CO, 80302-9305
Phone Number
972-570-8200
Fax Number
972-402-5621
Provider Enumeration Date
02/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9000167953 05 CO
institution
Provider Business Practice Location Address Details
Address
255 Canyon Blvd Ste 300-F
City
Boulder
State
Colorado
Zip
80302-4979
Phone Number
972-570-8200
Fax Number
972-402-5621
person
Provider Business Mailing Address Details
Address
255 Canyon Blvd Ste 300-F
City
Boulder
State
Colorado
Zip
80302-4979
Phone Number
972-570-8200
Fax Number
972-402-5621
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
2998 (Colorado)
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 the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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