Healthcare Provider Details
I. General information
NPI: 1316103674
Provider Name (Legal Business Name): BARBARA P. JONES CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/05/2008
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
925 E DIXON RD
LITTLE ROCK AR
72206-4115
US
IV. Provider business mailing address
4 COLLEEN CT
LITTLE ROCK AR
72212-3872
US
V. Phone/Fax
- Phone: 501-490-2000
- Fax:
- Phone: 501-228-7014
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 594 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: