Healthcare Provider Details

I. General information

NPI: 1356775977
Provider Name (Legal Business Name): ERIN LORRAINE LENOCKER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2013
Last Update Date: 12/27/2022
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 N NEVADA ST PENROSE HOSPITAL
COLORADO SPRINGS CO
80907
US

IV. Provider business mailing address

1620 PINON GLEN CIRCLE
COLORADO SPRINGS CO
80919
US

V. Phone/Fax

Practice location:
  • Phone: 719-776-5781
  • Fax:
Mailing address:
  • Phone: 719-502-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0003922
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: