Hetrick-Cano, Jessica Blair

Hetrick-Cano, Jessica Blair is an sole proprietor health care provider with primary practice located at 2918 Beacon St , Colorado Springs CO 80907-9208. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hetrick-Cano, Jessica Blair can be contacted via phone (719) 964-8953.

Contact Information

Primary practice address
2918 Beacon St Colorado Springs CO 80907-9208
Phone: (719) 964-8953
Fax: (719) 309-5864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 4106 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1577 Hawaii
Behavioral Health & Social Service Providers / Counseling 103TC1900X 4106 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4106 Colorado
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 4106 Colorado
Behavioral Health & Social Service Providers / Health 103TH0004X 4106 Colorado
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 4106 Colorado
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 4106 Colorado
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4106 Colorado

Profile Details

NPI number 1730444142
LBN Legal business name Hetrick-Cano, Jessica Blair
Credentials PSYD, MSCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2012
Last updated Apr 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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