Provider Demographics
NPI:1972657989
Name:ANDREWS, JO LYNN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JO
Middle Name:LYNN
Last Name:ANDREWS
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 1:1337 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5438
Mailing Address - Country:US
Mailing Address - Phone:307-672-9592
Mailing Address - Fax:
Practice Address - Street 1:1337 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5438
Practice Address - Country:US
Practice Address - Phone:307-672-9592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator