Provider Demographics
NPI:1508080607
Name:PESOCHINSKY, NINA
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:PESOCHINSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 COLORADO BLVD
Mailing Address - Street 2:APT 202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-3642
Mailing Address - Country:US
Mailing Address - Phone:303-329-7944
Mailing Address - Fax:
Practice Address - Street 1:1100 COLORADO BLVD
Practice Address - Street 2:APT 202
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-3642
Practice Address - Country:US
Practice Address - Phone:303-329-7944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health