Provider Demographics
NPI:1285943936
Name:LUCIA, DENISE L (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:L
Last Name:LUCIA
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WILCOX ST STE 240
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2064
Mailing Address - Country:US
Mailing Address - Phone:303-945-3775
Mailing Address - Fax:
Practice Address - Street 1:115 WILCOX ST STE 240
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2064
Practice Address - Country:US
Practice Address - Phone:303-945-3775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004418103T00000X, 103TF0200X, 103TC0700X
FLPY 9247103T00000X
MNLP5654103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic