Healthcare Provider Details

I. General information

NPI: 1750903613
Provider Name (Legal Business Name): SUMMIT NEUROPSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 S BROADWAY STE 330
LITTLETON CO
80122-2624
US

IV. Provider business mailing address

7720 S BROADWAY STE 570
LITTLETON CO
80122-2636
US

V. Phone/Fax

Practice location:
  • Phone: 720-242-7533
  • Fax: 720-815-2613
Mailing address:
  • Phone: 720-242-7533
  • Fax: 720-815-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGHAN THERESE LEE
Title or Position: CLINICAL NEUROPSYCHOLOGIST
Credential: PH.D.
Phone: 970-420-7075