Provider Demographics
NPI:1649892704
Name:SHRAGO, ERIN E (PSYD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:E
Last Name:SHRAGO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:SHRAGO
Other - Last Name:HOGGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 S CHERRY ST STE 1111
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1716
Mailing Address - Country:US
Mailing Address - Phone:303-756-1374
Mailing Address - Fax:303-756-1246
Practice Address - Street 1:600 S CHERRY ST STE 1111
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1716
Practice Address - Country:US
Practice Address - Phone:303-756-1374
Practice Address - Fax:303-756-1246
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2975103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical