Provider Demographics
NPI:1306894761
Name:PIRRELLO, PATRICIA ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ELIZABETH
Last Name:PIRRELLO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1562
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80901-1562
Mailing Address - Country:US
Mailing Address - Phone:719-599-7882
Mailing Address - Fax:719-598-1437
Practice Address - Street 1:6290 LEHMAN DR
Practice Address - Street 2:STE.202
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1471
Practice Address - Country:US
Practice Address - Phone:719-599-7882
Practice Address - Fax:719-598-1437
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1443103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical