Provider Demographics
NPI:1184638199
Name:JOSHUA, SUSAN CAROLINE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:CAROLINE
Last Name:JOSHUA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6722 E CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1531
Mailing Address - Country:US
Mailing Address - Phone:541-482-2410
Mailing Address - Fax:888-712-1367
Practice Address - Street 1:6722 E CENTER AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1531
Practice Address - Country:US
Practice Address - Phone:541-482-2410
Practice Address - Fax:888-712-1367
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD244592084P0800X
CO308552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry