Provider Demographics
NPI:1346498615
Name:LAUS, JOEY (MS CCC SLP)
Entity type:Individual
Prefix:MS
First Name:JOEY
Middle Name:
Last Name:LAUS
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MS
Other - First Name:JOEY
Other - Middle Name:
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:960 JOHNSON FERRY RD STE 335
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1625
Mailing Address - Country:US
Mailing Address - Phone:404-497-8700
Mailing Address - Fax:404-497-8701
Practice Address - Street 1:960 JOHNSON FERRY RD STE 335
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1625
Practice Address - Country:US
Practice Address - Phone:404-497-8700
Practice Address - Fax:404-497-8701
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP011974235Z00000X
CASP15076235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist