Provider Demographics
NPI:1659914752
Name:SCHMIDTLEIN, PAULA R (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:R
Last Name:SCHMIDTLEIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 MALETA LN STE 202
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-7607
Mailing Address - Country:US
Mailing Address - Phone:303-638-6092
Mailing Address - Fax:
Practice Address - Street 1:751 MALETA LN STE 202
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-7607
Practice Address - Country:US
Practice Address - Phone:303-638-6092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0005125103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical