Provider Demographics
NPI:1144383605
Name:OSTOJA-STARZEWSKA, EWA (PHD LICENSED PSYCH)
Entity Type:Individual
Prefix:
First Name:EWA
Middle Name:
Last Name:OSTOJA-STARZEWSKA
Suffix:
Gender:F
Credentials:PHD LICENSED PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 WEST HARVARD STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:970-214-5574
Mailing Address - Fax:970-797-1079
Practice Address - Street 1:149 WEST HARVARD STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:970-214-5574
Practice Address - Fax:970-797-1079
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2462103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
E9908Medicare UPIN
801137Medicare ID - Type Unspecified