Provider Demographics
NPI:1154644946
Name:LONDONO, JOSELYN D (SLP)
Entity type:Individual
Prefix:MRS
First Name:JOSELYN
Middle Name:D
Last Name:LONDONO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:598 INDIAN TRAIL RD S # 141
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-8689
Mailing Address - Country:US
Mailing Address - Phone:704-975-7008
Mailing Address - Fax:704-821-0570
Practice Address - Street 1:598 INDIAN TRAIL RD S # 141
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-8689
Practice Address - Country:US
Practice Address - Phone:704-975-7008
Practice Address - Fax:704-821-0570
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7864235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist