Provider Demographics
NPI:1578670709
Name:FINE, JOYCE L (PHD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:L
Last Name:FINE
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 1:1191 S PARKER RD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-7551
Mailing Address - Country:US
Mailing Address - Phone:720-859-3895
Mailing Address - Fax:720-302-0700
Practice Address - Street 1:1191 S PARKER RD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-7551
Practice Address - Country:US
Practice Address - Phone:720-859-3895
Practice Address - Fax:720-302-0700
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2531103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical