Healthcare Provider Details

I. General information

NPI: 1215930920
Provider Name (Legal Business Name): JANET M KUCZMARSKI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANET DODD PH.D.

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S ALBION ST STE 415B
DENVER CO
80222-4043
US

IV. Provider business mailing address

1660 S ALBION ST STE 415B
DENVER CO
80222-4043
US

V. Phone/Fax

Practice location:
  • Phone: 720-749-8698
  • Fax:
Mailing address:
  • Phone: 720-749-8698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number000945
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: