Provider Demographics
NPI:1174909295
Name:VOGELI, JOANN MCDONALD (PHD)
Entity type:Individual
Prefix:DR
First Name:JOANN
Middle Name:MCDONALD
Last Name:VOGELI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JO
Other - Middle Name:MCDONALD
Other - Last Name:VOGELI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:7340 OLD MILL TRL
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3908
Mailing Address - Country:US
Mailing Address - Phone:720-443-0336
Mailing Address - Fax:
Practice Address - Street 1:7340 OLD MILL TRL
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3908
Practice Address - Country:US
Practice Address - Phone:720-443-0336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.4864103TC0700X, 103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical