Provider Demographics
NPI:1578347837
Name:OCHOA, SHELSEA L
Entity Type:Individual
Prefix:
First Name:SHELSEA
Middle Name:L
Last Name:OCHOA
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 1:1350 JOSEPHINE ST APT 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2241
Mailing Address - Country:US
Mailing Address - Phone:720-218-4823
Mailing Address - Fax:
Practice Address - Street 1:1350 JOSEPHINE ST APT 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2241
Practice Address - Country:US
Practice Address - Phone:720-218-4823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker