Provider Demographics
NPI:1689442212
Name:HAWRYLAK, JHANA BROOKE
Entity Type:Individual
Prefix:
First Name:JHANA
Middle Name:BROOKE
Last Name:HAWRYLAK
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 1:2170 S JOSEPHINE ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4820
Mailing Address - Country:US
Mailing Address - Phone:412-427-4463
Mailing Address - Fax:
Practice Address - Street 1:1400 S OLD TOM MORRIS RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-6013
Practice Address - Country:US
Practice Address - Phone:303-366-0579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0004364235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist