| Performance Brain Health Center | |
|
1175 S Perry St Castle Rock CO 80104-1969 | |
| (719) 571-9590 | |
| Not Available |
| Full Name | Performance Brain Health Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1175 S Perry St, Castle Rock, Colorado |
| Authorized Official Name and Position | Ben Burlinson (CEO) |
| Authorized Official Contact | 7195719590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Brain Health Center 1175 S Perry St Castle Rock CO 80104-1969 Ph: () - | Performance Brain Health Center 1175 S Perry St Castle Rock CO 80104-1969 Ph: (719) 571-9590 |
| NPI Number | 1144728239 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144728239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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