Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Icn PLLC

Organization Clinical Neuropsychologist · NPI 1487192076

Icn PLLC provides Clinical Neuropsychologist services in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2017.

Licensed in
CO
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

255 Canyon Blvd Ste 300-F
Boulder, CO 80302-4979
Phone: (972) 570-8200
Fax: (972) 402-5621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 2998 (CO)

Record details

NPI number1487192076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bobby Gant — President · (720) 552-2995
Other names Institute For Clinical Neurosciences
NPI enumeratedFebruary 3, 2017
Last updated in NPPESJanuary 2, 2019
Mailing address5455 Lee Hill Dr, Boulder, CO 80302-9305

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