Provider Demographics
NPI:1346881950
Name:TUBBS, JOCELYN C
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:C
Last Name:TUBBS
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 1:320 E 1ST AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-3786
Mailing Address - Country:US
Mailing Address - Phone:303-464-8440
Mailing Address - Fax:
Practice Address - Street 1:1120 E ELIZABETH ST STE F101
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4044
Practice Address - Country:US
Practice Address - Phone:970-584-1063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-2647231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist