Joyce Dong

Individual provider Active NPI Speech-Language Pathologist · Deforest, WI

NPI 1972208056 · NPPES record last updated Mar 30, 2023

Key facts

NPI
1972208056
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
6902 Parkside Cir
Deforest, WI 53532-2560
Phone
(608) 846-2101
NPI assigned
Mar 30, 2023
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X WI Yes

Addresses

Primary practice location

6902 Parkside Cir
Deforest, WI 53532-2560

Mailing address

301 S Livingston St Apt 106
Madison, WI 53703-4236
Phone (646) 453-9178

Other providers in Deforest, WI

All providers in Deforest, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.