Provider Demographics
NPI:1639153315
Name:HOUSTON, JOYCE ROCHELLE (AUD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:ROCHELLE
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5318 W FRIENDLY AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4369
Mailing Address - Country:US
Mailing Address - Phone:336-834-3112
Mailing Address - Fax:
Practice Address - Street 1:5318 W FRIENDLY AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4369
Practice Address - Country:US
Practice Address - Phone:336-834-3112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2009-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4690231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2699643Medicare PIN