Provider Demographics
NPI:1063676682
Name:JENS, KATHRYN S (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:S
Last Name:JENS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 E PRENTICE AVE STE B12
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2758
Mailing Address - Country:US
Mailing Address - Phone:303-773-8991
Mailing Address - Fax:303-773-8991
Practice Address - Street 1:8000 E PRENTICE AVE STE B12
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2758
Practice Address - Country:US
Practice Address - Phone:303-773-8991
Practice Address - Fax:303-773-8991
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-13
Last Update Date:2008-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO651103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical