Provider Demographics
NPI:1629102942
Name:JOSEPH, CHARLA (AUD)
Entity Type:Individual
Prefix:DR
First Name:CHARLA
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CHARLA
Other - Middle Name:
Other - Last Name:BEILSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1855 PLUMAS ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3360
Mailing Address - Country:US
Mailing Address - Phone:775-825-6006
Mailing Address - Fax:
Practice Address - Street 1:1855 PLUMAS ST
Practice Address - Street 2:SUITE 5
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3360
Practice Address - Country:US
Practice Address - Phone:775-825-6006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002048-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist