Individual
JOYCE MARIE CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6058 SHADOW LAKE WAY, LITHONIA, GA 30058-3160
(404) 754-7351
(770) 413-0507
Mailing address
6058 SHADOW LAKE WAY, LITHONIA, GA 30058-3160
(404) 754-7351
(770) 413-0507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000983
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000792844E
—
GA
Enumeration date
10/06/2006
Last updated
02/19/2010
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