Provider Demographics
NPI:1235292335
Name:BARNETT, PAUL SCOTT (MS, MA)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:SCOTT
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1927
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80001-1927
Mailing Address - Country:US
Mailing Address - Phone:303-817-1807
Mailing Address - Fax:720-898-0479
Practice Address - Street 1:4851 INDEPENDENCE ST STE 200
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6712
Practice Address - Country:US
Practice Address - Phone:303-425-0300
Practice Address - Fax:303-432-5018
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2815101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO24305821Medicaid