Healthcare Provider Details

I. General information

NPI: 1447169305
Provider Name (Legal Business Name): PAUL JOSEPH OLENIEC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 THORNTON PKWY UNIT 234
THORNTON CO
80229-2167
US

IV. Provider business mailing address

2229 BLAKE ST APT 407
DENVER CO
80205-3063
US

V. Phone/Fax

Practice location:
  • Phone: 720-459-7493
  • Fax:
Mailing address:
  • Phone: 732-757-7617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: