Healthcare Provider Details

I. General information

NPI: 1225363096
Provider Name (Legal Business Name): KENDRA L SHERWOOD PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2009
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1191 S PARKER RD STE 101
DENVER CO
80231-2153
US

IV. Provider business mailing address

1191 S PARKER RD STE 101
DENVER CO
80231-2153
US

V. Phone/Fax

Practice location:
  • Phone: 720-633-9693
  • Fax:
Mailing address:
  • Phone: 720-633-9693
  • Fax: 720-386-1086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4272
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: