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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JESSICA BLAIR HETRICK-CANO, PSYD, MSCP

Active Sole Proprietor

DR. JESSICA BLAIR HETRICK-CANO, PSYD, MSCP is a Psychologist healthcare provider located in COLORADO SPRINGS, Colorado. NPI 1730444142 is currently active in the NPPES registry. Verify at CMS.

Psychologist · COLORADO SPRINGS, CO

Registration Details

NPI Number
1730444142
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2012 (14.066478654521 yrs)
Last Updated
Apr 30, 2021
Licenses
4106 (CO)
1577 (HI)
4106 (CO)
4106 (CO)
4106 (CO)
Sole Proprietor
Yes

Practice Information

Address
2918 BEACON ST
COLORADO SPRINGS, CO, 809079208
Browse CO providers · Browse ZIP 80907
Phone
7199648953
Fax
7193095864
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
Counseling Psychologist
Additional Specialty
Clinical Psychologist
Additional Specialty
Child, Clinical Psychologist

Other Psychologist Providers in COLORADO SPRINGS, CO

Name Credential NPI
DR. WILLIAM R DOVE PH.D. 1023011046
ELAINE ARCHAMBEAU PHD 1790771780
TERESA J MARSHALL PH.D. 1588627202
BECKIE M GRGICH PSYD, PSY 1073579637
DR. JUSTIN D LINCOLN PSYD 1083642482
DR. ANNE RUNDLE CLEMMER PSYD 1487675021
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.