Provider Demographics
NPI:1205164308
Name:JOY, ERICA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:JOY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5370 SAINT LEONARD RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LEONARD
Mailing Address - State:MD
Mailing Address - Zip Code:20685-2557
Mailing Address - Country:US
Mailing Address - Phone:443-550-9760
Mailing Address - Fax:410-286-4022
Practice Address - Street 1:5370 SAINT LEONARD RD
Practice Address - Street 2:
Practice Address - City:SAINT LEONARD
Practice Address - State:MD
Practice Address - Zip Code:20685-2557
Practice Address - Country:US
Practice Address - Phone:443-550-9760
Practice Address - Fax:410-286-4022
Is Sole Proprietor?:No
Enumeration Date:2009-12-01
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist