Provider Demographics
NPI:1609299601
Name:ZWACK, ASHLEY L
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:L
Last Name:ZWACK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 E CHERRY CREEK SOUTH DR
Mailing Address - Street 2:SUITE 940
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1518
Mailing Address - Country:US
Mailing Address - Phone:303-322-7108
Mailing Address - Fax:303-322-9989
Practice Address - Street 1:4500 E CHERRY CREEK SOUTH DR
Practice Address - Street 2:SUITE 940
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1518
Practice Address - Country:US
Practice Address - Phone:303-322-7108
Practice Address - Fax:303-322-9989
Is Sole Proprietor?:No
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health