Joni West, SLP
Individual provider Active NPI Speech-Language Pathologist · Gorman, TX
NPI 1083340913 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1083340913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 104321 (TX)
- Practice address
- 501 Roosevelt St.
Gorman, TX 76475-7647 - Phone
- (254) 734-2020
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104321 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 104321 | TX | Yes |
Addresses
Primary practice location
501 Roosevelt St.
Gorman, TX 76475-7647
Mailing address
PO Box 717
Gorman, TX 76454-0717
Phone (254) 734-2020
Other providers in Gorman, TX
All providers in Gorman, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.