Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 2890 | CO |
N | 103T00000X | Psychologist | 2890 | CO |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 2890 | CO |
N | 103TC1900X | Counseling Psychologist | 2890 | CO |
NPI | 1659386084 |
---|---|
Provider Name | Dr. Nancy Beth Sherrod |
First Address | Aurora, CO 80015-1057 |
Second Address | Aurora, CO 80015-1057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 08/07/2007 |