Individual
DR. JASON ALAN KACMARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
1700 WHEELING ST, AURORA, CO 80045-7211
(303) 399-8020
Mailing address
PO BOX 460266, DENVER, CO 80246-0266
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY.0004779
CO
103T00000X
Psychologist
PSY.0004779
CO
103TR0400X
Rehabilitation Psychologist
PSY.0004779
CO
Other
Enumeration date
04/19/2018
Last updated
06/21/2021
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