MEDICARE: MRS. JOY MCDOWELL M.S. CCC-SLP/L

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	146.009385	IL

General Provider Information

NPI Number	:	1881842706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOY MCDOWELL M.S. CCC-SLP/L

Provider Business Mailing Address
First Line	:	1304 KNOLLCREST DR
Second Line	:
City	:	WASHINGTON
State	:	IL
Zip	:	61571-1620
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1304 KNOLLCREST DR
Second Line	:
City	:	WASHINGTON
State	:	IL
Zip	:	61571-1620
Country	:	US
Telephone Number	:	309-696-5438
Fax Number	:

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

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	09/04/2008

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Directions to “ MRS. JOY MCDOWELL M.S. CCC-SLP/L” Practice Location

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