Provider Demographics
NPI:1669973897
Name:JOEST, MOLLY (SLP-CF)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:JOEST
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7271 PINE CREST DR
Mailing Address - Street 2:
Mailing Address - City:KIOWA
Mailing Address - State:CO
Mailing Address - Zip Code:80117-8908
Mailing Address - Country:US
Mailing Address - Phone:303-907-7350
Mailing Address - Fax:
Practice Address - Street 1:7271 PINE CREST DR
Practice Address - Street 2:
Practice Address - City:KIOWA
Practice Address - State:CO
Practice Address - Zip Code:80117-8908
Practice Address - Country:US
Practice Address - Phone:303-907-7350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSLP.0000328235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty