Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icn PLLC

Organization Clinical Neuropsychologist · NPI 1487192076

Icn PLLC is a Clinical Neuropsychologist 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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