Provider Demographics
NPI:1073151353
Name:DEGAY, TARSHA MARIE
Entity Type:Individual
Prefix:
First Name:TARSHA
Middle Name:MARIE
Last Name:DEGAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4447 DULUTH WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-5039
Mailing Address - Country:US
Mailing Address - Phone:720-229-2293
Mailing Address - Fax:
Practice Address - Street 1:4447 DULUTH WAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-5039
Practice Address - Country:US
Practice Address - Phone:720-229-2293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health