Doctor Name: | DR. KATHRYN S. JENS |
NPI Number: | 1063676682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 651 |
Business Practice Address: | 8000 E Prentice Ave Ste B12 Greenwood Village, CO - 801112758 |
Business Phone Number: | 3037738991 |
Business Fax Number: | 3037738991 |
Mailing Address: | 8000 E Prentice Ave Ste B12, GREENWOOD VILLAGE |
State: | CO |
Postal Code: | 801112758 |
Phone Number: | 3037738991 |
Fax Number: | 3037738991 |
NPI Enumeration Date: | 07/13/2008 |
NPI Last Update Date: | 07/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |