IndividualActive
Jace Waguspack, PHD
NPI 1851874150 · Clinical Neuropsychologist · Colorado Springs, CO
Provider details
- NPI number
- 1851874150
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 4908 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2312 N Nevada Ave Ste 100
Colorado Springs, CO 80907-5307
Phone: (719) 473-3272
Fax: (719) 389-1191
Approximate (ZIP-level) locationGet directions
Mailing address
2312 N Nevada Ave Ste 100
Colorado Springs, CO 80907-5307
Registry dates
- Enumerated
- 2018-09-12
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.