Provider Demographics
NPI:1407354665
Name:JOUBERT, DOROTHY BERNADINE (SLP-ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:BERNADINE
Last Name:JOUBERT
Suffix:
Gender:F
Credentials:SLP-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7473 BLEWETT RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77705-8214
Mailing Address - Country:US
Mailing Address - Phone:409-338-9697
Mailing Address - Fax:
Practice Address - Street 1:7473 BLEWETT RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77705-8214
Practice Address - Country:US
Practice Address - Phone:409-338-9697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX339892355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant