Harlan Ross Austin, PH.D.
Individual provider Active NPI Psychologist · Avon, CO
NPI 1174845127 · NPPES record last updated May 13, 2022
Key facts
- NPI
- 1174845127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 0004247 (CO)
- Practice address
- 50 Buck Creek Rd Ste 200
Avon, CO 81620-5428 - Phone
- (970) 926-6340
- Fax
- (970) 926-6348
- NPI assigned
- Feb 18, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004247 | CO | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0004247 | CO | Yes |
Addresses
Primary practice location
50 Buck Creek Rd Ste 200
Avon, CO 81620-5428
Mailing address
1693 Quentin St
Cedar
Aurora, CO 80045-2518
Phone (720) 848-3078
Other providers in Avon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.