OrganizationActive
Pediatric Neurology and Epilepsy Specialists, PLLC
NPI 1326908708 · Neurology with Special Qualifications in Child Neurology Physician · Colorado Springs, CO
Provider details
- NPI number
- 1326908708
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alicia Licano, Credentialing Manager(719) 638-1122
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6031 E Woodmen Rd Ste 330
Colorado Springs, CO 80923-2624
Phone: (303) 226-7230
Approximate (ZIP-level) locationGet directions
Mailing address
9235 N Union Blvd Ste 150334
Colorado Springs, CO 80920-7831
Registry dates
- Enumerated
- 2025-11-17
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.