Provider Demographics
NPI:1366630386
Name:KEARNS, JOY ANDREA MURDOCK (MS,CCC-SLP,LSLS,CE)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ANDREA MURDOCK
Last Name:KEARNS
Suffix:
Gender:F
Credentials:MS,CCC-SLP,LSLS,CE
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:ANDREA
Other - Last Name:MURDOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3518 JEFFERSON AVE.
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062
Mailing Address - Country:US
Mailing Address - Phone:650-365-7500
Mailing Address - Fax:650-365-7557
Practice Address - Street 1:3518 JEFFERSON AVE.
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062
Practice Address - Country:US
Practice Address - Phone:650-365-7500
Practice Address - Fax:650-365-7557
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11695235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist