Healthcare Provider Details

I. General information

NPI: 1619639937
Provider Name (Legal Business Name): NEUROPSYCHOLOGICAL SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 FOXTRAIL DR # 234
LOVELAND CO
80538-9086
US

IV. Provider business mailing address

464 GRANGE LN
JOHNSTOWN CO
80534-7827
US

V. Phone/Fax

Practice location:
  • Phone: 720-615-8444
  • Fax: 720-844-3300
Mailing address:
  • Phone: 720-615-8444
  • Fax: 720-844-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MARK ANTHON LOTT
Title or Position: NEUROPSYCHOLOGIST / OWNER
Credential: PHD
Phone: 720-615-8444