Provider Demographics
NPI:1356651368
Name:PERRY, JOSELYNE MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSELYNE
Middle Name:MARIE
Last Name:PERRY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JOSELYNE
Other - Middle Name:MARIE
Other - Last Name:SULZNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:4907 EASTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-4641
Mailing Address - Country:US
Mailing Address - Phone:970-310-5677
Mailing Address - Fax:
Practice Address - Street 1:4907 EASTRIDGE DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-4641
Practice Address - Country:US
Practice Address - Phone:970-310-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-12
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CO4564103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health