| Organization Name: | UNITED REHABILITATION, P.C. |
| NPI Number: | 1285799072 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MANUEL BERMUDEZ (PRESIDENT) |
| Mailing Address: | 2930 Austin Bluffs Pkwy Suite 102 Colorado Springs |
| State: | CO US |
| Postal Code: | 809185763 |
| Phone Number: | 7195949997 |
| Fax Number: | 7195944152 |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 643 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |