Provider Demographics
NPI:1881471076
Name:VIETH, JOE A (SLPA)
Entity type:Individual
Prefix:
First Name:JOE
Middle Name:A
Last Name:VIETH
Suffix:
Gender:M
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4080 DESERT NOMAD DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2405
Mailing Address - Country:US
Mailing Address - Phone:208-964-6305
Mailing Address - Fax:
Practice Address - Street 1:5255 WOODROW BEAN
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-3832
Practice Address - Country:US
Practice Address - Phone:915-206-4428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX432652355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant