Provider Demographics
NPI:1639377971
Name:JOSEPH, MERRIL JOY (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MERRIL
Middle Name:JOY
Last Name:JOSEPH
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:PO BOX 1273
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-8273
Mailing Address - Country:US
Mailing Address - Phone:847-894-1342
Mailing Address - Fax:
Practice Address - Street 1:1487 ESSEX DR
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-4609
Practice Address - Country:US
Practice Address - Phone:847-894-1342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-09
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.000519235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist