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 1:1100 HOMESTEAD RD N STE D
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-6008
Mailing Address - Country:US
Mailing Address - Phone:239-223-0792
Mailing Address - Fax:
Practice Address - Street 1:1100 HOMESTEAD RD N STE D
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6008
Practice Address - Country:US
Practice Address - Phone:239-223-0792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-14
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA13064235Z00000X
WVY9P136600413235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist