Provider Demographics
NPI:1184394132
Name:NED, SACORRA SHALOND
Entity type:Individual
Prefix:
First Name:SACORRA
Middle Name:SHALOND
Last Name:NED
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 1:9740 SURREY RUN DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-2108
Mailing Address - Country:US
Mailing Address - Phone:719-321-0163
Mailing Address - Fax:
Practice Address - Street 1:9740 SURREY RUN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80924-2108
Practice Address - Country:US
Practice Address - Phone:719-321-0163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker