Provider Demographics
NPI:1790802452
Name:FLINDERS, JOANI MICHELLE (MA, CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:JOANI
Middle Name:MICHELLE
Last Name:FLINDERS
Suffix:
Gender:F
Credentials:MA, CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 OSBORNE RD
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-8270
Mailing Address - Country:US
Mailing Address - Phone:606-782-0850
Mailing Address - Fax:
Practice Address - Street 1:2040 OSBORNE RD
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-8270
Practice Address - Country:US
Practice Address - Phone:606-782-0850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2437235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist