Provider Demographics
NPI:1326878638
Name:BARRIE-SCHWARZ, GREGORY THOMAS
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:THOMAS
Last Name:BARRIE-SCHWARZ
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 1:10690 W 7TH PL APT 5
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-5666
Mailing Address - Country:US
Mailing Address - Phone:573-353-4755
Mailing Address - Fax:
Practice Address - Street 1:10690 W 7TH PL APT 5
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-5666
Practice Address - Country:US
Practice Address - Phone:573-353-4755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician