Provider Demographics
NPI:1700964954
Name:SIMPSON, JANICE MARCIA (JANICE SIMPSON)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:MARCIA
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:JANICE SIMPSON
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:FREED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9350 POUNDSTONE PL
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3410
Mailing Address - Country:US
Mailing Address - Phone:303-771-5398
Mailing Address - Fax:303-771-6504
Practice Address - Street 1:10782 E ALAMEDA AVE
Practice Address - Street 2:11059 E. BETHANY DR.
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1017
Practice Address - Country:US
Practice Address - Phone:303-617-2627
Practice Address - Fax:303-617-2672
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO283652084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
COE74379Medicaid