Provider Demographics
NPI:1508024803
Name:JOSLIN, ANGELIA D (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANGELIA
Middle Name:D
Last Name:JOSLIN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3068 ED HAYMES RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:AR
Mailing Address - Zip Code:72007-9511
Mailing Address - Country:US
Mailing Address - Phone:501-605-1439
Mailing Address - Fax:
Practice Address - Street 1:3068 ED HAYMES RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:AR
Practice Address - Zip Code:72007-9511
Practice Address - Country:US
Practice Address - Phone:501-605-1439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#1906235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist