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NPI Code Detail

MEDICARE: JANICE MARCIA SIMPSON JANICE SIMPSON

MEDICARE: JANICE MARCIA SIMPSON JANICE SIMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician28365CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700964954
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE MARCIA SIMPSON JANICE SIMPSON
Provider Business Mailing Address
First Line : 9350 POUNDSTONE PL
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3410
Country : US
Telephone Number : 303-771-5398
Fax Number : 303-771-6504
Provider Business Practice Location Address
First Line : 10782 E ALAMEDA AVE
Second Line : 11059 E. BETHANY DR.
City : AURORA
State : CO
Zip : 80012-1017
Country : US
Telephone Number : 303-617-2627
Fax Number : 303-617-2672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 07/08/2007

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