Provider Demographics
NPI:1225257108
Name:PERAINO, BARBARA BRENNAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:BRENNAN
Last Name:PERAINO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9090 RIDGELINE BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2504
Mailing Address - Country:US
Mailing Address - Phone:303-534-0911
Mailing Address - Fax:
Practice Address - Street 1:9090 RIDGELINE BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2504
Practice Address - Country:US
Practice Address - Phone:303-534-0911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22335103TC0700X, 103TB0200X, 103TC0700X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service