MEDICARE: TAVYN JONES SLPA

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	2355S0801X	Speech-Language Assistant	SLPA16770	AZ

General Provider Information

NPI Number	:	1831060797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAVYN JONES SLPA

Provider Business Mailing Address
First Line	:	6753 S RUSSET SKY WAY
Second Line	:
City	:	GOLD CANYON
State	:	AZ
Zip	:	85118-2949
Country	:	US
Telephone Number	:	715-456-0232
Fax Number	:

Provider Business Practice Location Address
First Line	:	7205 S POWER RD
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-7456
Country	:	US
Telephone Number	:	715-456-0232
Fax Number	:

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

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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Directions to “ TAVYN JONES SLPA” Practice Location

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