NPI 1871788349

Lighthouse Clinical Services LLC

Organisation Clinical Neuropsychologist Colorado Springs, CO

Practice location

Address: 2500 N Circle Dr, Colorado Springs, CO 80909-1184
Phone: (719) 636-3784
Fax: (719) 630-3211

Authorised official

Name: Bob Gant
Title: President
Phone: (719) 636-3784

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 2998 (CO)

Other Clinical Neuropsychologist providers in Colorado →

Clinical Neuropsychologist

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1788 (TX)

Registry record

NPI: 1871788349
Entity type: Organization
NPI issued: 7 Sep 2007
Record last updated: 7 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.