Provider Demographics
NPI:1144362898
Name:ZEPP, JO ANN (LPC CACIII)
Entity type:Individual
Prefix:MS
First Name:JO ANN
Middle Name:
Last Name:ZEPP
Suffix:
Gender:F
Credentials:LPC CACIII
Other - Prefix:MISS
Other - First Name:JO ANN
Other - Middle Name:
Other - Last Name:ELIZONDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 49632
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80949
Mailing Address - Country:US
Mailing Address - Phone:719-593-8876
Mailing Address - Fax:
Practice Address - Street 1:614 NORTH NEVADA AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903
Practice Address - Country:US
Practice Address - Phone:719-593-8876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2230103TP0814X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis