Healthcare Provider Details

I. General information

NPI: 1437315330
Provider Name (Legal Business Name): JENNA M. PRESTON PSY.D, LP, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 S ASPEN ST STOP 89
AURORA CO
80011-9562
US

IV. Provider business mailing address

275 S ASPEN ST STOP 89
AURORA CO
80011-9562
US

V. Phone/Fax

Practice location:
  • Phone: 720-847-7492
  • Fax:
Mailing address:
  • Phone: 720-847-7492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY.0004832
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: