Organization
EWA OSTOJA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EWA OSTOJA-STARZEWSKA PH.D. (MANAGING MEMBER)
(970) 214-5574
Entity
Organization
Contact information
Practice address
149 W HARVARD ST STE 202, FORT COLLINS, CO 80525-2186
(970) 214-5574
(970) 797-1079
Mailing address
2424 PINE NEEDLE CT, FORT COLLINS, CO 80528-8585
(979) 214-5574
(970) 797-1079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144383605
INDIVIDUAL NPI
CO
Enumeration date
11/17/2019
Last updated
11/17/2019
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