Provider Demographics
NPI:1285802611
Name:JOSEPHSON, DARCY LYNN (MS CCC-SLP/L)
Entity type:Individual
Prefix:MRS
First Name:DARCY
Middle Name:LYNN
Last Name:JOSEPHSON
Suffix:
Gender:F
Credentials:MS CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 W WINTHROP AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3121
Mailing Address - Country:US
Mailing Address - Phone:312-515-9861
Mailing Address - Fax:
Practice Address - Street 1:320 W WINTHROP AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3121
Practice Address - Country:US
Practice Address - Phone:312-515-9861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008967235Z00000X
IL146008967235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist