Provider Demographics
NPI:1346650454
Name:MARIBEL HINOJOSA PSYD LLC
Entity Type:Organization
Organization Name:MARIBEL HINOJOSA PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HINOJOSA
Authorized Official - Suffix:I
Authorized Official - Credentials:PSYCHOLOGIST
Authorized Official - Phone:303-669-9229
Mailing Address - Street 1:7200 E DRY CREEK RD STE G208
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2575
Mailing Address - Country:US
Mailing Address - Phone:303-669-9229
Mailing Address - Fax:
Practice Address - Street 1:7200 E DRY CREEK RD STE G208
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2575
Practice Address - Country:US
Practice Address - Phone:303-669-9229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty