Provider Demographics
NPI:1528958402
Name:DIPASQUALE, ENYA
Entity type:Individual
Prefix:
First Name:ENYA
Middle Name:
Last Name:DIPASQUALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ENYA
Other - Middle Name:
Other - Last Name:TRADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2251 BENNETT AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-2005
Mailing Address - Country:US
Mailing Address - Phone:719-433-9856
Mailing Address - Fax:
Practice Address - Street 1:1802 CHAPEL HILLS DR STE A
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3736
Practice Address - Country:US
Practice Address - Phone:719-465-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty