Provider Demographics
NPI:1164832226
Name:ZIAS, JOY (SLPA)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:ZIAS
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4124 N 57TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-4656
Mailing Address - Country:US
Mailing Address - Phone:480-784-7825
Mailing Address - Fax:480-839-6363
Practice Address - Street 1:600 E BASELINE RD
Practice Address - Street 2:SUITE A4
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1247
Practice Address - Country:US
Practice Address - Phone:480-839-6000
Practice Address - Fax:480-839-6363
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA86442355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant