Provider Demographics
NPI:1265691372
Name:WHEELER, JOYCE CAROL (MSCCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:CAROL
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4735 S 54TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1335
Mailing Address - Country:US
Mailing Address - Phone:402-488-0977
Mailing Address - Fax:402-484-7856
Practice Address - Street 1:4735 S 54TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1335
Practice Address - Country:US
Practice Address - Phone:402-488-0977
Practice Address - Fax:402-484-7856
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE840235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist