Provider Demographics
NPI:1396012183
Name:SANCHEZ, JESUS (PHD)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 270946
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-5016
Mailing Address - Country:US
Mailing Address - Phone:720-360-1801
Mailing Address - Fax:888-971-4178
Practice Address - Street 1:357 MCCASLIN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2932
Practice Address - Country:US
Practice Address - Phone:720-360-1801
Practice Address - Fax:888-971-4178
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1935103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical