MEDICARE: DR. JEFF PAULEZ PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY.0005354	CO

General Provider Information

NPI Number	:	1033893607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFF PAULEZ PHD

Provider Business Mailing Address
First Line	:	1905 SHERMAN ST
Second Line	:	STE 200 1670
City	:	DENVER
State	:	CO
Zip	:	80203
Country	:	US
Telephone Number	:	303-578-0708
Fax Number	:

Provider Business Practice Location Address
First Line	:	226 REMINGTON ST STE 1
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-7115
Country	:	US
Telephone Number	:	303-578-0708
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	08/22/2025

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