Provider Demographics
NPI:1194153221
Name:SLOGGY, JOANNA (PHD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:
Last Name:SLOGGY
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 FOOTHILLS PLZ # 160
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-2305
Mailing Address - Country:US
Mailing Address - Phone:865-659-8683
Mailing Address - Fax:865-951-7345
Practice Address - Street 1:111 COMMONWEALTH AVE STE 100
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24201-3832
Practice Address - Country:US
Practice Address - Phone:865-659-8683
Practice Address - Fax:865-951-7345
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-4298235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist