MEDICARE: MRS. MICHELLE JONES SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP. 9000	OH

General Provider Information

NPI Number	:	1033316278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE JONES SLP

Provider Business Mailing Address
First Line	:	4531 COLUMBUS RD
Second Line	:
City	:	CENTERBURG
State	:	OH
Zip	:	43011-9401
Country	:	US
Telephone Number	:	740-625-5401
Fax Number	:

Provider Business Practice Location Address
First Line	:	4531 COLUMBUS RD
Second Line	:
City	:	CENTERBURG
State	:	OH
Zip	:	43011-9401
Country	:	US
Telephone Number	:	740-625-5401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	02/08/2016

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