Healthcare Provider Details

I. General information

NPI: 1841548609
Provider Name (Legal Business Name): BADWAN PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2012
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 N LOGAN ST STE 101
DENVER CO
80203-3186
US

IV. Provider business mailing address

950 N LOGAN ST STE 101
DENVER CO
80203-3186
US

V. Phone/Fax

Practice location:
  • Phone: 303-834-1026
  • Fax: 877-358-4558
Mailing address:
  • Phone: 303-834-1026
  • Fax: 877-358-4558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number871
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. OUS H. BADWAN
Title or Position: CLINICIAN/OWNER
Credential: PSY.D., M.F.T.
Phone: 312-493-9111