Healthcare Provider Details

I. General information

NPI: 1093871030
Provider Name (Legal Business Name): DARCI ANN DYER HARVEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 02/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19284 COTTONWOOD DR
PARKER CO
80138-3882
US

IV. Provider business mailing address

13123 E 16TH AVE
AURORA CO
80045-7106
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-9049
  • Fax:
Mailing address:
  • Phone: 720-777-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1012
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: