Doctor Name: | DR. GARY J NEUGER |
NPI Number: | 1013055862 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 1236 |
Business Practice Address: | 422 E Vermijo Ave Suite 305 Colorado Springs, CO - 809033791 |
Business Phone Number: | 7192196220 |
Business Fax Number: | |
Mailing Address: | 422 E Vermijo Ave, Suite 305 COLORADO SPRINGS |
State: | CO |
Postal Code: | 809033791 |
Phone Number: | 7192196220 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |