Provider Demographics
NPI:1174007520
Name:CAIN, JOY LYNN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:LYNN
Last Name:CAIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 N TWYMAN RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64058-3200
Mailing Address - Country:US
Mailing Address - Phone:816-650-7063
Mailing Address - Fax:816-650-7088
Practice Address - Street 1:2101 N TWYMAN RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64058-3200
Practice Address - Country:US
Practice Address - Phone:816-650-7063
Practice Address - Fax:816-650-7088
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01825235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty