Provider Demographics
NPI:1881005072
Name:MARSTON, JOYCE BETH (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:BETH
Last Name:MARSTON
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11212 SHADOW NOOK CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-1624
Mailing Address - Country:US
Mailing Address - Phone:702-283-3217
Mailing Address - Fax:
Practice Address - Street 1:11212 SHADOW NOOK CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-1624
Practice Address - Country:US
Practice Address - Phone:702-283-3217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-11
Last Update Date:2014-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-653235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist