Provider Demographics
NPI:1336355932
Name:SCHAUMBURG, HARRY W (LMFT)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:W
Last Name:SCHAUMBURG
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11509 PALMER DIVIDE AVE
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CO
Mailing Address - Zip Code:80118-5009
Mailing Address - Country:US
Mailing Address - Phone:303-688-5680
Mailing Address - Fax:
Practice Address - Street 1:11509 PALMER DIVIDE AVE
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CO
Practice Address - Zip Code:80118-5009
Practice Address - Country:US
Practice Address - Phone:303-688-5680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO111106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist