Provider Demographics
NPI:1265478820
Name:ELWOOD, JOANNE F (MS)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:F
Last Name:ELWOOD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:JO
Other - Middle Name:F
Other - Last Name:ELWOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:3405 SHADY HILL CIR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-1353
Mailing Address - Country:US
Mailing Address - Phone:254-778-4920
Mailing Address - Fax:
Practice Address - Street 1:CTVHCS
Practice Address - Street 2:1901 VETERAN'S MEMORIAL DRIVE
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504
Practice Address - Country:US
Practice Address - Phone:254-743-2818
Practice Address - Fax:254-743-0092
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10405235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist