Healthcare Provider Details

I. General information

NPI: 1568804557
Provider Name (Legal Business Name): AMANDA M N'ZI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2013
Last Update Date: 09/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11059 E BETHANY DR STE 200
AURORA CO
80014-2622
US

IV. Provider business mailing address

13123 E 16TH AVE # B390
AURORA CO
80045-7106
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-2342
  • Fax: 303-617-2365
Mailing address:
  • Phone: 303-864-5163
  • Fax: 303-864-5275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: