Provider Demographics
NPI:1306001037
Name:HESSE, JOY ANN (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ANN
Last Name:HESSE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 VALLEY WEST DR
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-3939
Mailing Address - Country:US
Mailing Address - Phone:515-223-4368
Mailing Address - Fax:515-453-2368
Practice Address - Street 1:105 VALLEY WEST DR
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-3939
Practice Address - Country:US
Practice Address - Phone:515-223-4368
Practice Address - Fax:515-453-2368
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00789235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist