Provider Demographics
NPI:1669717674
Name:JOSLYN, BRITTA RAJAMAKI (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:BRITTA
Middle Name:RAJAMAKI
Last Name:JOSLYN
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:PO BOX 982106
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-2106
Mailing Address - Country:US
Mailing Address - Phone:435-901-0395
Mailing Address - Fax:
Practice Address - Street 1:1572 VILLAGE ROUND DR
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-6521
Practice Address - Country:US
Practice Address - Phone:435-901-0395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-02
Last Update Date:2012-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8060921-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist