Provider Demographics
NPI:1780015156
Name:SLOUCHICK, AMANDA (CNIM)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SLOUCHICK
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 E ORCHARD RD
Mailing Address - Street 2:SUITE 200N
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2518
Mailing Address - Country:US
Mailing Address - Phone:303-339-1499
Mailing Address - Fax:303-962-4819
Practice Address - Street 1:7600 E ORCHARD RD
Practice Address - Street 2:SUITE 200N
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2518
Practice Address - Country:US
Practice Address - Phone:303-339-1499
Practice Address - Fax:303-962-4819
Is Sole Proprietor?:No
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic