Provider Demographics
NPI:1831249333
Name:JORY, PATRICIA (BA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:JORY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:
Other - Last Name:JORY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11051 YELLOWSTONE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-6762
Mailing Address - Country:US
Mailing Address - Phone:303-746-5457
Mailing Address - Fax:
Practice Address - Street 1:1333 IRIS AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-2226
Practice Address - Country:US
Practice Address - Phone:720-406-3688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health