Provider Demographics
NPI:1538848999
Name:DUGAN, JOYCE (MA/CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:
Last Name:DUGAN
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CARDIFF RUN
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2804
Mailing Address - Country:US
Mailing Address - Phone:631-834-6609
Mailing Address - Fax:
Practice Address - Street 1:EDWARD J. BOSTI ELEMENTARY SCHOOL
Practice Address - Street 2:50 BOURNE BOULEVARD
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716
Practice Address - Country:US
Practice Address - Phone:631-244-2215
Practice Address - Fax:631-589-5897
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009593-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist