Individual
ABBY ELIZABETH KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC- SLP
Contact information
Practice address
4850 S YOSEMITE ST, GREENWOOD VILLAGE, CO 80111-1308
(720) 848-0000
Mailing address
4850 S YOSEMITE ST, GREENWOOD VILLAGE, CO 80111-1308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14132421
—
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003294
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP.0003294
235Z00000X
CO
Enumeration date
09/19/2018
Last updated
12/18/2023
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