Provider Demographics
NPI:1780151142
Name:MEADOWS, JOSELYN ANN (CCC-SLP)
Entity type:Individual
Prefix:
First Name:JOSELYN
Middle Name:ANN
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:JOSELYN
Other - Middle Name:ANN
Other - Last Name:HOWLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:170 S WOOD DALE RD
Mailing Address - Street 2:
Mailing Address - City:WOOD DALE
Mailing Address - State:IL
Mailing Address - Zip Code:60191-2271
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:170 S WOOD DALE RD
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-2271
Practice Address - Country:US
Practice Address - Phone:630-766-6336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL28818692Medicaid