Provider Demographics
NPI:1679630180
Name:SCARANO, THOMAS P (PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:SCARANO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5290 E YALE CIR STE 201
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6933
Mailing Address - Country:US
Mailing Address - Phone:303-757-2340
Mailing Address - Fax:303-756-3555
Practice Address - Street 1:5290 E YALE CIR STE 201
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6933
Practice Address - Country:US
Practice Address - Phone:303-757-2340
Practice Address - Fax:303-756-3555
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO820103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical