Provider Demographics
NPI:1962443408
Name:PRITCHETT, JOY W (AUD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:W
Last Name:PRITCHETT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 GLADYS LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30215-5778
Mailing Address - Country:US
Mailing Address - Phone:770-719-2820
Mailing Address - Fax:478-453-0967
Practice Address - Street 1:111 FIELDSTONE DR
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-7108
Practice Address - Country:US
Practice Address - Phone:478-452-0578
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD000571231H00000X, 231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA637568GMedicaid
GA537568EMedicaid
GA637568DMedicaid
GA637568FMedicaid
GA537568EMedicaid