Provider Demographics
NPI:1710540067
Name:SUDYKA, MARY ESTHER
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ESTHER
Last Name:SUDYKA
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 1:21852 E ONTARIO DR UNIT 1431
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-6049
Mailing Address - Country:US
Mailing Address - Phone:720-317-8694
Mailing Address - Fax:
Practice Address - Street 1:21852 E ONTARIO DR UNIT 1431
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-6049
Practice Address - Country:US
Practice Address - Phone:720-317-8694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-22
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019244101YM0800X
101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health