Provider Demographics
NPI:1225314040
Name:JOINER, MICHELLE GREENIDGE (MA-CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:GREENIDGE
Last Name:JOINER
Suffix:
Gender:F
Credentials:MA-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 W 95TH ST
Mailing Address - Street 2:APT.33A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6778
Mailing Address - Country:US
Mailing Address - Phone:646-217-8756
Mailing Address - Fax:
Practice Address - Street 1:95 W 95TH ST
Practice Address - Street 2:APT.33A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6778
Practice Address - Country:US
Practice Address - Phone:646-217-8756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003854-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist