Provider Demographics
NPI:1093108045
Name:TUMA, JODI
Entity Type:Individual
Prefix:MRS
First Name:JODI
Middle Name:
Last Name:TUMA
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 1:5620 W 32ND ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8529
Mailing Address - Country:US
Mailing Address - Phone:970-631-7273
Mailing Address - Fax:
Practice Address - Street 1:5620 W 32ND ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-8529
Practice Address - Country:US
Practice Address - Phone:970-631-7273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health