Healthcare Provider Details

I. General information

NPI: 1578370060
Provider Name (Legal Business Name): PREOP ASSESSMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 ORCHARD VALLEY RD
COLORADO SPRINGS CO
80919-2937
US

IV. Provider business mailing address

2295 ORCHARD VALLEY RD
COLORADO SPRINGS CO
80919-2937
US

V. Phone/Fax

Practice location:
  • Phone: 719-645-0136
  • Fax:
Mailing address:
  • Phone: 719-645-0136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CODY GERALD STEHLIK
Title or Position: CEO
Credential:
Phone: 719-645-0136