Healthcare Provider Details

I. General information

NPI: 1750585790
Provider Name (Legal Business Name): NANCY B. SHERROD, PH.D., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13791 E RICE PL SUITE 104
AURORA CO
80015-1057
US

IV. Provider business mailing address

13791 E RICE PL SUITE 104
AURORA CO
80015-1057
US

V. Phone/Fax

Practice location:
  • Phone: 303-898-7583
  • Fax:
Mailing address:
  • Phone: 303-898-7583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2890
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. NANCY B. SHERROD
Title or Position: MANAGING MEMBER
Credential: PH.D.
Phone: 303-898-7583