Provider Demographics
NPI:1659527422
Name:O'NEAL, JOY (M-FA)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:M-FA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304B GATEWAY LOOP
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-6322
Mailing Address - Country:US
Mailing Address - Phone:830-693-1251
Mailing Address - Fax:
Practice Address - Street 1:304B GATEWAY LOOP
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-6322
Practice Address - Country:US
Practice Address - Phone:830-693-1251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50372231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist