Healthcare Provider Details

I. General information

NPI: 1386697837
Provider Name (Legal Business Name): NEURO-THERAPY CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 E ORCHARD RD SUITE 340
GREENWOOD VILLAGE CO
80111-2583
US

IV. Provider business mailing address

7800 E ORCHARD RD SUITE 340
GREENWOOD VILLAGE CO
80111-2583
US

V. Phone/Fax

Practice location:
  • Phone: 303-741-4800
  • Fax: 303-741-2244
Mailing address:
  • Phone: 303-741-4800
  • Fax: 303-741-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number19645
License Number StateCO

VIII. Authorized Official

Name: DR. DANIEL A HOFFMAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 303-741-4800