Provider Demographics
NPI:1922131705
Name:JOSEPH, SKYLER PERKINS (AUD)
Entity Type:Individual
Prefix:DR
First Name:SKYLER
Middle Name:PERKINS
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:SKYLER
Other - Middle Name:
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:84 THORN CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-9623
Mailing Address - Country:US
Mailing Address - Phone:706-631-2893
Mailing Address - Fax:
Practice Address - Street 1:84 THORN CREEK WAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-9623
Practice Address - Country:US
Practice Address - Phone:706-631-2893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15131231H00000X
GAAUD003890231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty