Whalio Doctors

NPI 1417042516

James H Waters, PHD

Practitioner Clinical Neuropsychologist Boulder, CO

Practice location

Address
2501 Walnut Street Suite 212, Boulder, CO 80302
Phone
(303) 444-1630
Fax
(970) 221-3730
Mailing address
P O Box 2086, Fort Collins, CO 80522-2086

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 605 (CO)

Registry record

NPI
1417042516
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Oct 2006
Record last updated
8 Jul 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.