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Individual

MS. JANET M KUCZMARSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

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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