SearchColorado101YM0800X

Richard Shane, PH.D

NPI 1386712354 · on the registry since 2006 · sole proprietor

Practice

Address
3980 Broadway St
Suite 103-165
Boulder, CO 80304
Phone
(303) 304-9933
Fax
(720) 294-8350
Organisation at this address
Ben Greenfield, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado