Provider Demographics
NPI:1962447797
Name:PAZOS, HENRIETTA MARY (PSYD)
Entity type:Individual
Prefix:DR
First Name:HENRIETTA
Middle Name:MARY
Last Name:PAZOS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11515 E AMHERST CIR N
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3046
Mailing Address - Country:US
Mailing Address - Phone:303-513-1408
Mailing Address - Fax:
Practice Address - Street 1:2755 S LOCUST ST STE 216
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-7132
Practice Address - Country:US
Practice Address - Phone:303-513-1408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2024-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0310366103TS0200X
CO2751103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool