=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518366012
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR JOYCE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2014
-----------------------------------------------------
Last Update Date | 08/20/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8158 E 5TH AVE SUITE 250
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80230-6444
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-859-3895
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8158 E 5TH AVE SUITE 250
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80230-6444
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-859-3895
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PSYCHOLOGIST
-----------------------------------------------------
Name | DR. JOYCE FINE
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 720-859-3895
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 2531
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------