Provider Demographics
NPI:1619500204
Name:PAULA R SCHMIDTLEIN, PSY D LLC
Entity Type:Organization
Organization Name:PAULA R SCHMIDTLEIN, PSY D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHMIDTLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:303-628-6092
Mailing Address - Street 1:6065 S QUEBEC ST STE 202
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4532
Mailing Address - Country:US
Mailing Address - Phone:303-638-6092
Mailing Address - Fax:
Practice Address - Street 1:6065 S QUEBEC ST STE 202
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4532
Practice Address - Country:US
Practice Address - Phone:303-638-6092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty