Search › Colorado › 1041C0700X
Dena Southerlan, LCSW
NPI 1588020788 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1143 Capitol Street Unit 206c
Eagle, CO 81631 - Phone
- (970) 445-2700
- Fax
- (970) 445-2700
- Organisation at this address
- Axis Sports Medicine, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado