Provider Demographics
NPI:1124169297
Name:JOPLING, BOBBY JEAN (M ED, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:BOBBY
Middle Name:JEAN
Last Name:JOPLING
Suffix:
Gender:F
Credentials:M ED, CCC-SLP
Other - Prefix:
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Mailing Address - Street 1:66 MAXWELL AVE
Mailing Address - Street 2:
Mailing Address - City:ST SIMONS IS
Mailing Address - State:GA
Mailing Address - Zip Code:31522-1861
Mailing Address - Country:US
Mailing Address - Phone:912-634-9988
Mailing Address - Fax:912-466-2613
Practice Address - Street 1:2415 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4722
Practice Address - Country:US
Practice Address - Phone:912-466-3180
Practice Address - Fax:912-466-3186
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP001089235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist