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NPI Code Detail

MEDICARE: DR. JESUS SANCHEZ PH.D.

MEDICARE: DR. JESUS SANCHEZ PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1935CO

General Provider Information

NPI Number : 1396012183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESUS SANCHEZ PH.D.
Provider Business Mailing Address
First Line : PO BOX 270946
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-5016
Country : US
Telephone Number : 720-360-1801
Fax Number : 888-971-4178
Provider Business Practice Location Address
First Line : 357 MCCASLIN BLVD STE 200
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2932
Country : US
Telephone Number : 720-360-1801
Fax Number : 888-971-4178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2011
Last Update Date : 03/26/2021

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