Provider Demographics
NPI:1043444318
Name:TASCI, DEBRA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:
Last Name:TASCI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1253 MESA CT
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-1393
Mailing Address - Country:US
Mailing Address - Phone:303-643-8586
Mailing Address - Fax:303-985-3133
Practice Address - Street 1:3595 S TELLER ST
Practice Address - Street 2:SUITE 310
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2014
Practice Address - Country:US
Practice Address - Phone:303-643-8586
Practice Address - Fax:303-985-3133
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2468103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist