Healthcare Provider Details

I. General information

NPI: 1922944396
Provider Name (Legal Business Name): BARRY ERDMAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 PENROSE PL STE 210
BOULDER CO
80301-1810
US

IV. Provider business mailing address

3450 PENROSE PL STE 210
BOULDER CO
80301-1810
US

V. Phone/Fax

Practice location:
  • Phone: 303-444-1404
  • Fax: 303-444-3491
Mailing address:
  • Phone: 303-444-1404
  • Fax: 303-444-3491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BARRY ERDMAN
Title or Position: LIC CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 303-444-1404