Provider Demographics
NPI:1316655475
Name:MARTINEZ HERRERA, CATHRIN A
Entity type:Individual
Prefix:
First Name:CATHRIN
Middle Name:A
Last Name:MARTINEZ HERRERA
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 1:1381 WORCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6528
Mailing Address - Country:US
Mailing Address - Phone:720-329-4544
Mailing Address - Fax:
Practice Address - Street 1:4380 S SYRACUSE ST STE 520
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2625
Practice Address - Country:US
Practice Address - Phone:720-501-7338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician