Bobby Lee Gant
Health Psychologist Clinical Psychologist Rehabilitation Psychologist Clinical Child & Adolescent Psychologist and 1 more
255 Canyon Blvd Ste 300f
Boulder
, Colorado 80302
Bobby Lee Gant
Health Psychologist Clinical Psychologist Rehabilitation Psychologist Clinical Child & Adolescent Psychologist and 1 more
255 Canyon Blvd Ste 300f
Boulder
, Colorado 80302
(972) 402-5621
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Health Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Bobby Lee Gant
- 5455 Lee Hill Dr
- Boulder, CO
- Zip : 80302-9305
- Fax : (972) 402-5621
- Phone : (720) 552-2995
Second Address
- Bobby Lee Gant
- 255 Canyon Blvd Ste 300f
- Boulder, CO
- Zip : 80302
- Fax : (972) 402-5621
- Phone : (972) 570-8200
Reviews
FAQs
Where did Bobby Lee Gant attend graduate school?
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In what state does Bobby Lee Gant practice in?
Where is Bobby Lee Gant ’s practice located?
What is Bobby Lee Gant ’s gender?
Is Bobby Lee Gant a sole practitioner?
Is Bobby Lee Gant accepting new patients?
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What is Bobby Lee Gant ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 21788 | TX |
| N | 103TC0700X | Clinical Psychologist | 21788 | TX |
| Y | 103G00000X | Clinical Psychologist | PSY.0002998 | CO |
| Y | 103TC0700X | Clinical Psychologist | PSY.0002998 | CO |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2998 | CO |
| N | 103TH0004X | Health Psychologist | 2998 | CO |
| N | 103TR0400X | Rehabilitation Psychologist | 2998 | CO |
National Provider Identifier
| NPI | 1326104415 |
|---|---|
| Provider Name | Bobby Lee Gant |
| First Address | Boulder, CO 80302-9305 |
| Second Address | Boulder, CO 80302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2006 |
| Last Update Date | 28/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 21788 | STATE LICENSE (01) | TX |
| 2998 | STATE LICENSE (01) | CO |
| 9000168090 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.