Healthcare Provider Details

I. General information

NPI: 1528909231
Provider Name (Legal Business Name): ISAAC HAROSH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 E MISSISSIPPI AVE
GLENDALE CO
80246-3048
US

IV. Provider business mailing address

7349 W GRANT RANCH BLVD APT 822
LITTLETON CO
80123-2652
US

V. Phone/Fax

Practice location:
  • Phone: 303-326-0645
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: