Healthcare Provider Details

I. General information

NPI: 1821656497
Provider Name (Legal Business Name): JILL HERSH PSYD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 UINTA WAY STE 120
DENVER CO
80230-7198
US

IV. Provider business mailing address

495 UINTA WAY STE 120
DENVER CO
80230-7198
US

V. Phone/Fax

Practice location:
  • Phone: 303-344-4100
  • Fax:
Mailing address:
  • Phone: 303-335-0673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. JILL HERSH
Title or Position: PSYCHOLOGIST
Credential: PSYD
Phone: 303-344-4100