Individual
MS. JOY JOHNSON PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
6658 MILLSTONE AVE, BATON ROUGE, LA 70808-5114
(225) 767-6831
Mailing address
6658 MILLSTONE AVE, BATON ROUGE, LA 70808-5114
(225) 767-6831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3486
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302899
—
LA
Enumeration date
05/08/2007
Last updated
07/09/2007
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