Provider Demographics
NPI:1871088005
Name:KOZMA, PATTY
Entity type:Individual
Prefix:
First Name:PATTY
Middle Name:
Last Name:KOZMA
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 1:7097 S KNOLLS WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-1734
Mailing Address - Country:US
Mailing Address - Phone:303-903-9988
Mailing Address - Fax:
Practice Address - Street 1:7097 S KNOLLS WAY
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-1734
Practice Address - Country:US
Practice Address - Phone:303-903-9988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health