Provider Demographics
NPI:1225038540
Name:TOWNSEND, JOY R (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:R
Last Name:TOWNSEND
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 1:1100 COLLEGE ST
Mailing Address - Street 2:MUW 1340
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39701-5800
Mailing Address - Country:US
Mailing Address - Phone:662-329-7270
Mailing Address - Fax:662-329-7460
Practice Address - Street 1:1100 COLLEGE ST
Practice Address - Street 2:MUW 1340
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39701-5800
Practice Address - Country:US
Practice Address - Phone:662-329-7270
Practice Address - Fax:662-329-7460
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS1073235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00117214Medicare ID - Type Unspecified