Castelo, Jessica Boer

Castelo, Jessica Boer is an individual health care provider with primary practice located at 499 E Hampden Ave Suite 360, Englewood CO 80113-2780. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Castelo, Jessica Boer can be contacted via phone (303) 781-4485.

Contact Information

Primary practice address
499 E Hampden Ave Suite 360 Englewood CO 80113-2780
Fax: (303) 306-7753
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3756 Colorado

Profile Details

NPI number 1255522207
LBN Legal business name Castelo, Jessica Boer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Jul 7th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255522207 NPPES
Colorado Other PSY.0003756 COLORADO MEDICAL LICENSE

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