Provider Demographics
NPI:1831142959
Name:KOLODZIEJ, ELAINE FRANCES (AUD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:FRANCES
Last Name:KOLODZIEJ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1284
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-1284
Mailing Address - Country:US
Mailing Address - Phone:787-777-3535
Mailing Address - Fax:787-777-3702
Practice Address - Street 1:AVE ROOSEVELT
Practice Address - Street 2:TORRE DE PLAZA LAS AMERICAS SUITE 402
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-2710
Practice Address - Country:US
Practice Address - Phone:787-756-6560
Practice Address - Fax:787-756-7456
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR505231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist