Healthcare Provider Details

I. General information

NPI: 1225277510
Provider Name (Legal Business Name): JOYCE DUQUETTE THOM MA-CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4745 ARAPAHOE AVE SUITE 130 BOULDER VALLEY EAR, NOSE, & THROAT
BOULDER CO
80303
US

IV. Provider business mailing address

4745 ARAPAHOE AVE SUITE 130 BOULDER VALLEY EAR, NOSE, & THROAT
BOULDER CO
80303
US

V. Phone/Fax

Practice location:
  • Phone: 303-443-2772
  • Fax: 303-443-2784
Mailing address:
  • Phone: 303-443-2772
  • Fax: 303-443-2784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number135
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: