Healthcare Provider Details

I. General information

NPI: 1316882632
Provider Name (Legal Business Name): MAXWELL ZOROMSKI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4665 N RALEIGH ST
DENVER CO
80212-2560
US

IV. Provider business mailing address

1956 LAWRENCE ST APT 917
DENVER CO
80202-2234
US

V. Phone/Fax

Practice location:
  • Phone: 720-424-8900
  • Fax:
Mailing address:
  • Phone: 262-269-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0006803
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: