Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WOLLY JEFFERSON JOSEPH
Active Sole ProprietorMR. WOLLY JEFFERSON JOSEPH is a Swallowing Disorders Speech-Language Pathologist healthcare provider located in EAST CHICAGO, Indiana. NPI 1962193169 is currently active in the NPPES registry. Verify at CMS.
Swallowing Disorders Speech-Language Pathologist · EAST CHICAGO, IN
Registration Details
- NPI Number
- 1962193169
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2023 (3.0575724188874 yrs)
- Last Updated
- May 17, 2023
- License
-
29002063A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1224 BEACON ST APT 3EAST CHICAGO, IN, 463124213Browse IN providers · Browse ZIP 46312
- Phone
- 5088979171
- Primary Specialty
-
Swallowing Disorders Speech-Language Pathologist
2355S0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.