Individual
MS. JANET M KUCZMARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1660 S ALBION ST STE 415B, DENVER, CO 80222-4043
(720) 749-8698
Mailing address
1660 S ALBION ST STE 415B, DENVER, CO 80222-4043
(720) 749-8698
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000945
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016140
VALUE OPTIONS PROVIDER #
CO
01
—
107936355
UNITED PROVIDER NUMBER
CO
01
—
236870
MANAGED HEALTH NETWORK #
CO
01
—
345469000
MAGELLAN PROVIDER NUMBER
CO
01
—
7453442
AETNA PROVIDER NUMBER
CO
01
—
A73EEE662F
TRICARE PROVIDER NUMBER
CO
Enumeration date
05/27/2005
Last updated
10/08/2025
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