Provider Demographics
NPI:1477225829
Name:PARIAN, MARTIN C
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:C
Last Name:PARIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 S CLARKSON ST APT 405
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2804
Mailing Address - Country:US
Mailing Address - Phone:646-510-0784
Mailing Address - Fax:
Practice Address - Street 1:827 N SHERMAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2913
Practice Address - Country:US
Practice Address - Phone:303-831-9344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health