Provider Demographics
NPI:1104979681
Name:TURBEVILLE, JOSEPH BRYANT JR (PHD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:BRYANT
Last Name:TURBEVILLE
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10310 W MARKHAM ST
Mailing Address - Street 2:STE 207
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2175
Mailing Address - Country:US
Mailing Address - Phone:501-224-6910
Mailing Address - Fax:501-224-4933
Practice Address - Street 1:10310 W MARKHAM ST
Practice Address - Street 2:SUITE 207
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2175
Practice Address - Country:US
Practice Address - Phone:501-224-6910
Practice Address - Fax:501-224-4933
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR27231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR141088720Medicaid
AR105294720Medicaid
AR56475Medicare ID - Type Unspecified