Provider Demographics
NPI:1619284106
Name:SILKEY, JOYCE A (MA CCC/SLP)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:SILKEY
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 1:14069 EDEN ISLE BLVD
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-7323
Mailing Address - Country:US
Mailing Address - Phone:407-877-0129
Mailing Address - Fax:
Practice Address - Street 1:886 S DILLARD ST
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3910
Practice Address - Country:US
Practice Address - Phone:407-905-8908
Practice Address - Fax:407-905-8958
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5844235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist