Provider Demographics
NPI:1083732226
Name:DANIEL, PAUL MICHAEL (BA)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:MICHAEL
Last Name:DANIEL
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
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Mailing Address - Street 1:3160 S SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2613
Mailing Address - Country:US
Mailing Address - Phone:303-789-0679
Mailing Address - Fax:303-789-0679
Practice Address - Street 1:9485 W COLFAX AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-3918
Practice Address - Country:US
Practice Address - Phone:303-432-5243
Practice Address - Fax:303-432-5262
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2008-03-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health