Provider Demographics
NPI:1790816486
Name:BADWAN, OUS HUSSEIN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:OUS
Middle Name:HUSSEIN
Last Name:BADWAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N LOGAN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3186
Mailing Address - Country:US
Mailing Address - Phone:303-834-1026
Mailing Address - Fax:
Practice Address - Street 1:950 N LOGAN ST STE 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3186
Practice Address - Country:US
Practice Address - Phone:303-834-1026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 48303106H00000X
CO871106H00000X
CO0003817103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist