Provider Demographics
NPI:1063909802
Name:RUTFORD, TERRYN DENNING
Entity type:Individual
Prefix:
First Name:TERRYN
Middle Name:DENNING
Last Name:RUTFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6095 S UKRAINE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6652
Mailing Address - Country:US
Mailing Address - Phone:505-274-5993
Mailing Address - Fax:
Practice Address - Street 1:6095 S UKRAINE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6652
Practice Address - Country:US
Practice Address - Phone:505-274-5993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health