Provider Demographics
NPI:1902208788
Name:BELL, JOSHUA ALLAN
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ALLAN
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 S LASHLEY LN
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-5930
Mailing Address - Country:US
Mailing Address - Phone:301-331-4657
Mailing Address - Fax:
Practice Address - Street 1:640 S LASHLEY LN
Practice Address - Street 2:APT 104
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-5930
Practice Address - Country:US
Practice Address - Phone:301-331-4657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health