Provider Demographics
NPI:1982061685
Name:MAKE A JOYFUL NOISE
Entity Type:Organization
Organization Name:MAKE A JOYFUL NOISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LA SAUNDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-308-0523
Mailing Address - Street 1:1029 LEE ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-2208
Mailing Address - Country:US
Mailing Address - Phone:859-308-0523
Mailing Address - Fax:
Practice Address - Street 1:1029 LEE ST
Practice Address - Street 2:APT. 1
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-2208
Practice Address - Country:US
Practice Address - Phone:859-308-0523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY3232252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency