MEDICARE: MRS. JOY R. TOWNSEND MS CCC SLP

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	235Z00000X	Speech-Language Pathologist	S1073	MS

General Provider Information

NPI Number	:	1225038540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOY R. TOWNSEND MS CCC SLP

Provider Business Mailing Address
First Line	:	1100 COLLEGE ST
Second Line	:	MUW 1340
City	:	COLUMBUS
State	:	MS
Zip	:	39701-5800
Country	:	US
Telephone Number	:	662-329-7270
Fax Number	:	662-329-7460

Provider Business Practice Location Address
First Line	:	1100 COLLEGE ST
Second Line	:	MUW 1340
City	:	COLUMBUS
State	:	MS
Zip	:	39701-5800
Country	:	US
Telephone Number	:	662-329-7270
Fax Number	:	662-329-7460

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/08/2007

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