Healthcare Provider Details

I. General information

NPI: 1437365475
Provider Name (Legal Business Name): KATHRYN DYMAK HOUTCHENS MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8321 SANGRE DE CRISTO RD SUITE 202
LITTLETON CO
80127-6425
US

IV. Provider business mailing address

8321 SANGRE DE CRISTO RD STE 202
LITTLETON CO
80127-6425
US

V. Phone/Fax

Practice location:
  • Phone: 303-984-4414
  • Fax: 303-984-6244
Mailing address:
  • Phone: 970-339-9651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD333
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: