Joyce Elaine Poydence, MA, CCC-SLP

Key facts

NPI

1295074029

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

SL008033 (PA)

Practice address

208 Pennknoll Rd
Everett, PA 15537-6940

Phone

(814) 623-9018

NPI assigned

Feb 14, 2013

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

State licenses

Specialties & licenses

Addresses

Other names

• Miss Joyce Elaine Brezina Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2013.

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1295074029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S JULIANA ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221833",
            "telephone_number": "814-623-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PENNKNOLL RD",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155376940",
            "telephone_number": "814-623-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYDENCE",
        "first_name": "JOYCE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "BREZINA",
            "middle_name": "ELAINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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