Provider Demographics
NPI:1669193355
Name:JOINER, DUSTY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DUSTY
Middle Name:
Last Name:JOINER
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 1:501 MUSTANG DR
Mailing Address - Street 2:
Mailing Address - City:DENVER CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79323-2751
Mailing Address - Country:US
Mailing Address - Phone:806-592-6042
Mailing Address - Fax:
Practice Address - Street 1:500 N SOLAND AVE
Practice Address - Street 2:
Practice Address - City:DENVER CITY
Practice Address - State:TX
Practice Address - Zip Code:79323-2824
Practice Address - Country:US
Practice Address - Phone:806-592-6042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108091235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist