Healthcare Provider Details

I. General information

NPI: 1457156663
Provider Name (Legal Business Name): CATHERINE SOPHIE SKOGGARD MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7596 W JEWELL AVE STE 1-202
LAKEWOOD CO
80232-6889
US

IV. Provider business mailing address

4883 WHITE ROCK CIR APT F
BOULDER CO
80301-3277
US

V. Phone/Fax

Practice location:
  • Phone: 970-480-7883
  • Fax:
Mailing address:
  • Phone: 970-480-7883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: