Provider Demographics
NPI:1538583281
Name:PRYOR, JOY (MA)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:
Last Name:PRYOR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:JOY
Other - Middle Name:S
Other - Last Name:PRYOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:116 HICKORY HILL DR
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-2201
Mailing Address - Country:US
Mailing Address - Phone:804-980-1818
Mailing Address - Fax:
Practice Address - Street 1:116 HICKORY HILL DR
Practice Address - Street 2:
Practice Address - City:STEPHENS CITY
Practice Address - State:VA
Practice Address - Zip Code:22655-2201
Practice Address - Country:US
Practice Address - Phone:804-980-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVY9P136600413235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist