MEDICARE: DR. JOYCE ROCHELLE HOUSTON AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231HA2400X	Assistive Technology Practitioner Audiologist	4690	NC

General Provider Information

NPI Number	:	1639153315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOYCE ROCHELLE HOUSTON AU.D.

Provider Business Mailing Address
First Line	:	5318 W FRIENDLY AVE
Second Line	:	SUITE B
City	:	GREENSBORO
State	:	NC
Zip	:	27410-4369
Country	:	US
Telephone Number	:	336-834-3112
Fax Number	:

Provider Business Practice Location Address
First Line	:	5318 W FRIENDLY AVE
Second Line	:	SUITE B
City	:	GREENSBORO
State	:	NC
Zip	:	27410-4369
Country	:	US
Telephone Number	:	336-834-3112
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	08/23/2009

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