Provider Demographics
NPI:1114077336
Name:SUTTEN, RACHELLE ANN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHELLE
Middle Name:ANN
Last Name:SUTTEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:RACHELLE
Other - Middle Name:ANN
Other - Last Name:SUTTEN COATS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:9543 W CALEY AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3103
Mailing Address - Country:US
Mailing Address - Phone:303-756-5400
Mailing Address - Fax:303-972-6463
Practice Address - Street 1:8340 SANGRE DE CRISTO RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4248
Practice Address - Country:US
Practice Address - Phone:303-756-5400
Practice Address - Fax:303-972-6463
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD452103T00000X
CO2800103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist