Provider Demographics
NPI:1689230575
Name:DENTON, JOSIE CHRISTINE
Entity Type:Individual
Prefix:MS
First Name:JOSIE
Middle Name:CHRISTINE
Last Name:DENTON
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 1:711 MORADA C CT
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-1118
Mailing Address - Country:US
Mailing Address - Phone:209-518-0424
Mailing Address - Fax:
Practice Address - Street 1:363 S LOWER SACRAMENTO RD STE B
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95242-3323
Practice Address - Country:US
Practice Address - Phone:209-339-7396
Practice Address - Fax:209-367-8901
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8498237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist