Provider Demographics
NPI:1417202581
Name:CLIFTON, JOY N (MS)
Entity Type:Individual
Prefix:MISS
First Name:JOY
Middle Name:N
Last Name:CLIFTON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 PARKSIDE AVE
Mailing Address - Street 2:FIFTH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-4700
Mailing Address - Country:US
Mailing Address - Phone:215-879-4023
Mailing Address - Fax:
Practice Address - Street 1:4950 PARKSIDE AVE
Practice Address - Street 2:FIFTH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4700
Practice Address - Country:US
Practice Address - Phone:215-879-4023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY642216121235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist