Provider Demographics
NPI:1295959864
Name:NAYLOR, JOANNE CARFIOLI (PHD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:CARFIOLI
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 N 800 E
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-3333
Mailing Address - Country:US
Mailing Address - Phone:361-813-0966
Mailing Address - Fax:
Practice Address - Street 1:336 N 800 E
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84606-3333
Practice Address - Country:US
Practice Address - Phone:361-813-0966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL014947235Z00000X
UT10505565-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASL014947OtherSTATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
UT10505565-4102OtherUTAH DIVISION OF PROFESSIONAL LICENSES
NC7413245Medicaid