Provider Demographics
NPI:1881065050
Name:ROCKY MOUNTAIN NEUROPSYCHOLOGY CONSULTANTS, LLC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN NEUROPSYCHOLOGY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TRAN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-352-1301
Mailing Address - Street 1:190 E 9TH AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2738
Mailing Address - Country:US
Mailing Address - Phone:720-449-2499
Mailing Address - Fax:720-634-0719
Practice Address - Street 1:190 E 9TH AVE STE 350
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2738
Practice Address - Country:US
Practice Address - Phone:720-449-2499
Practice Address - Fax:720-634-0719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Single Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Single Specialty