| Dr. Desi, Llc | |
|
3001 Fox St Apt 428 Denver CO 80202-7118 | |
| (405) 714-2999 | |
| Not Available |
| Full Name | Dr. Desi, Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 3001 Fox St, Denver, Colorado |
| Authorized Official Name and Position | Desmond Harless (PSYCHOLOGIST) |
| Authorized Official Contact | 4057142999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Desi, Llc 3001 Fox St Apt 428 Denver CO 80202-7118 Ph: () - | Dr. Desi, Llc 3001 Fox St Apt 428 Denver CO 80202-7118 Ph: (405) 714-2999 |
| NPI Number | 1770972085 |
|---|---|
| Provider Enumeration Date | 01/10/2015 |
| Last Update Date | 03/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770972085 | NPI | - | NPPES |
| 86004549 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 4105 (Colorado) | Primary |
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