Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Colorado Psychiatric PC

Organization Psychiatry Physician · NPI 1912028564

Southern Colorado Psychiatric PC is a Psychiatry Physician in Pueblo, Colorado. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925 E Orman Ave Ste G12
Pueblo, CO 81004-3563
Phone: (719) 564-1800
Fax: (719) 564-1865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1912028564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright — Authorized Agent · (719) 564-1800
NPI enumeratedApril 2, 2007
Last updated in NPPESJuly 13, 2009
Mailing address1925 E Orman Ave Ste G12, Pueblo, CO 81004-3563

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