Provider Demographics
NPI:1568452910
Name:HOLDSWORTH, JOY LINDSEY
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:LINDSEY
Last Name:HOLDSWORTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6768 MONTPELLIER BLVD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-6608
Mailing Address - Country:US
Mailing Address - Phone:937-435-8246
Mailing Address - Fax:937-435-8246
Practice Address - Street 1:6768 MONTPELLIER BLVD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-6608
Practice Address - Country:US
Practice Address - Phone:937-435-8246
Practice Address - Fax:937-435-8246
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-2691235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist