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NPI Code Detail

MEDICARE: AMANDA OZANICH MS

MEDICARE: AMANDA OZANICH MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist
2103TC2200XClinical Child & Adolescent Psychologist

General Provider Information

NPI Number : 1760214282
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA OZANICH MS
Provider Business Mailing Address
First Line : 3832 S CHESTER ST
Second Line :
City : AURORA
State : CO
Zip : 80014-7353
Country : US
Telephone Number : 412-860-6653
Fax Number :
Provider Business Practice Location Address
First Line : 950 N LOGAN ST STE 101
Second Line :
City : DENVER
State : CO
Zip : 80203-3186
Country : US
Telephone Number : 38-341-0261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2024
Last Update Date : 08/14/2024

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Directions to “ AMANDA OZANICH MS” Practice Location

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