Basic Information
Provider Information
NPI: 1316043607
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLEN
FirstName: BARBARA
MiddleName: ANN
NamePrefix: MS.
NameSuffix:  
Credential: L.C.S.W.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 370016
Address2:  
City: DENVER
State: CO
PostalCode: 802370016
CountryCode: US
TelephoneNumber: 3033998020
FaxNumber: 3033934611
Practice Location
Address1: 1055 CLERMONT ST, 111C 6C-120
Address2: VA MEDICAL CENTER
City: DENVER
State: CO
PostalCode: 80220
CountryCode: US
TelephoneNumber: 3033998020
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/15/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X993061COY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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