Provider Demographics
NPI:1407103385
Name:HARCUS, LINDSEY MARLENE (PSYD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MARLENE
Last Name:HARCUS
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 1:50 S STEELE ST STE 377
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2808
Mailing Address - Country:US
Mailing Address - Phone:720-506-1714
Mailing Address - Fax:
Practice Address - Street 1:50 S STEELE ST STE 377
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2808
Practice Address - Country:US
Practice Address - Phone:720-506-1714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4294103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical