Provider Demographics
NPI:1639562671
Name:LEFEVER, JOANNA (MS)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:LEFEVER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 N A ST
Mailing Address - Street 2:BUILDING 7 SUITE 260
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-5421
Mailing Address - Country:US
Mailing Address - Phone:432-570-4400
Mailing Address - Fax:432-570-4460
Practice Address - Street 1:3300 N A ST
Practice Address - Street 2:BUILDING 7 SUITE 260
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-5421
Practice Address - Country:US
Practice Address - Phone:432-570-4400
Practice Address - Fax:432-570-4460
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109523235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist