Individual
MARISA KOSTIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7403 CHURCH RANCH BLVD UNIT 107, WESTMINSTER, CO 80021-5490
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY.0005347
CO
103TC0700X
Clinical Psychologist
Primary
PSY.0005347
CO
103TF0000X
Family Psychologist
PSY.0005347
CO
Other
Enumeration date
06/18/2019
Last updated
06/24/2025
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