Provider Demographics
NPI:1447429048
Name:SHREWSBURY, DEANNA M (LPC , ATR-BC)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:M
Last Name:SHREWSBURY
Suffix:
Gender:F
Credentials:LPC , ATR-BC
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:M
Other - Last Name:KERL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC , ATR-BC
Mailing Address - Street 1:220 RUSKIN DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910
Mailing Address - Country:US
Mailing Address - Phone:719-572-6100
Mailing Address - Fax:719-572-6080
Practice Address - Street 1:875 WEST MORENO AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905
Practice Address - Country:US
Practice Address - Phone:719-572-6200
Practice Address - Fax:719-572-6299
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4542101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional