Individual
JOANNA DEJEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2735 SHIPPEN AVE, LOUISVILLE, KY 40206-2355
(502) 419-0010
Mailing address
PO BOX 7924, LOUISVILLE, KY 40257-0924
(502) 419-0010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-3440
KY
Other
Enumeration date
04/01/2009
Last updated
11/09/2009
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