Doctor Name: | JILL MCNAUL |
NPI Number: | 1972708303 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 36987 |
Business Practice Address: | 2501 Walnut St Suite 201 Boulder, CO - 803025751 |
Business Phone Number: | 3034423400 |
Business Fax Number: | |
Mailing Address: | 2501 Walnut St, Suite 201 BOULDER |
State: | CO |
Postal Code: | 803025751 |
Phone Number: | 3034423400 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 36987 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |