Provider Demographics
NPI:1568581643
Name:SZYMANSKI, AMANDA G (CNIM, AUD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:G
Last Name:SZYMANSKI
Suffix:
Gender:F
Credentials:CNIM, AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13981 DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-6347
Mailing Address - Country:US
Mailing Address - Phone:720-496-9148
Mailing Address - Fax:
Practice Address - Street 1:13981 DOWNING ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80602-6347
Practice Address - Country:US
Practice Address - Phone:720-496-9148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2016-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1043246Z00000X
IA077409231H00000X
CO691231H00000X
MT3238231H00000X
TX80646231H00000X
CAAU-2945231H00000X
ND1401231H00000X
SD442-A231H00000X
TN1735231H00000X
WI608-156231H00000X
OHA. 01947231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO14051355OtherASHA CERTIFICATION
SD442-AOtherSOUTH DAKOTA LICENSE
TX80646OtherTEXAS STATE LICENSE
CO41018660OtherFELLOW OF THE AMERICAN ACADEMY OF AUDIOLOGY
IA077409OtherIOWA
ND1401OtherNORTH DAKOTA LICENSE
CAAU 2945OtherCALIFORNIA STATE LICENSE
CO691OtherCOLORADO AUDIOLOGY LICENSE
OHA. 01947OtherOHIO AUDIOLOGY LICENSE
TN1735OtherTENNESSEE AUDIOLOGY LICENSE
MT3238OtherMONTANA AUDIOLOGY LICENSE
WI608-156OtherWISCONSIN LICENSE