Provider Demographics
NPI:1255848321
Name:ALOIA, JILL GITTEN (PHD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:GITTEN
Last Name:ALOIA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1228
Mailing Address - Country:US
Mailing Address - Phone:720-499-8411
Mailing Address - Fax:
Practice Address - Street 1:2501 WALNUT ST STE 102
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5752
Practice Address - Country:US
Practice Address - Phone:720-449-8411
Practice Address - Fax:720-449-8411
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3018103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist