Provider Demographics
NPI:1174827562
Name:UMANSKY, AMY MARIE (AUD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:UMANSKY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:MARIE
Other - Last Name:STREUFERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4900 S. MONACO ST
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-750-8600
Mailing Address - Fax:303-743-7800
Practice Address - Street 1:1400 S. POTOMAC ST
Practice Address - Street 2:#240
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4541
Practice Address - Country:US
Practice Address - Phone:303-750-8600
Practice Address - Fax:303-743-7800
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000598231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05252385Medicaid
CO05252385Medicaid
COCOAAA2626Medicare PIN