Healthcare Provider Details

I. General information

NPI: 1568581643
Provider Name (Legal Business Name): AMANDA G. SZYMANSKI CNIM, AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 01/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13981 DOWNING ST
BRIGHTON CO
80602-6347
US

IV. Provider business mailing address

13981 DOWNING ST
BRIGHTON CO
80602-6347
US

V. Phone/Fax

Practice location:
  • Phone: 720-496-9148
  • Fax:
Mailing address:
  • Phone: 720-496-9148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number077409
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number691
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3238
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80646
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU-2945
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1401
License Number StateND
# 7
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number442-A
License Number StateSD
# 8
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1735
License Number StateTN
# 9
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number608-156
License Number StateWI
# 10
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA. 01947
License Number StateOH
# 11
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number1043
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: