Provider Demographics
NPI:1306529029
Name:ROCKY MOUNTAIN NEUROBEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN NEUROBEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CORI ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPEK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:970-581-5592
Mailing Address - Street 1:5115 HOGAN CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-8801
Mailing Address - Country:US
Mailing Address - Phone:970-581-5592
Mailing Address - Fax:
Practice Address - Street 1:2629 REDWING RD STE 112
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2879
Practice Address - Country:US
Practice Address - Phone:970-568-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty