Provider Demographics
NPI:1649553512
Name:JOYNER, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:JOYNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:MANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1925 ASHLAND CITY RD APT 1424
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-1610
Mailing Address - Country:US
Mailing Address - Phone:931-206-6459
Mailing Address - Fax:
Practice Address - Street 1:1925 ASHLAND CITY RD APT 1424
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-1610
Practice Address - Country:US
Practice Address - Phone:931-206-6459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCET001709235Z00000X
TNSP0000004965235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist