Healthcare Provider Details

I. General information

NPI: 1285379503
Provider Name (Legal Business Name): STEPHANIE BARLOW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 DISCOVERY PKWY STE 250
SUPERIOR CO
80027-8762
US

IV. Provider business mailing address

500 DISCOVERY PKWY STE 250
SUPERIOR CO
80027-8762
US

V. Phone/Fax

Practice location:
  • Phone: 720-712-0306
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0077265
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: