Provider Demographics
NPI:1245442656
Name:JOYCE SHOHET ACKERMAN, EDD., P.C.
Entity type:Organization
Organization Name:JOYCE SHOHET ACKERMAN, EDD., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:SHOHET
Authorized Official - Last Name:ACKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:970-353-3373
Mailing Address - Street 1:1750 25TH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4943
Mailing Address - Country:US
Mailing Address - Phone:970-353-3373
Mailing Address - Fax:970-353-3374
Practice Address - Street 1:1750 25TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4943
Practice Address - Country:US
Practice Address - Phone:970-353-3373
Practice Address - Fax:970-353-3374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO928103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty