MEDICARE: HALEY ANN JONES

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	2202010259	VA
2	235Z00000X	Speech-Language Pathologist	121115	TX

General Provider Information

NPI Number	:	1194406264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY ANN JONES

Provider Business Mailing Address
First Line	:	PSC 9 BOX 1568
Second Line	:
City	:	APO
State	:	AE
Zip	:	09123-0016
Country	:	US
Telephone Number	:	170-204-5695
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 HEARTHSIDE DR
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-9325
Country	:	US
Telephone Number	:	170-204-5695
Fax Number	:

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

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	08/03/2023

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Directions to “ HALEY ANN JONES ” Practice Location

Language	Start Address	Practice Location

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