Provider Demographics
NPI:1801369475
Name:JOINER, KELSEY FAYE (MCD, CF-SLP)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:FAYE
Last Name:JOINER
Suffix:
Gender:F
Credentials:MCD, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 W VINE ST APT 4
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-5032
Mailing Address - Country:US
Mailing Address - Phone:870-215-3694
Mailing Address - Fax:
Practice Address - Street 1:724 W VINE ST APT 4
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-5032
Practice Address - Country:US
Practice Address - Phone:870-215-3694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist