Provider Demographics
NPI:1013231083
Name:JONES, ALINA T (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:T
Last Name:JONES
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 MATTHEWS MINT HILL RD
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-6562
Mailing Address - Country:US
Mailing Address - Phone:980-237-6226
Mailing Address - Fax:980-237-6226
Practice Address - Street 1:7900 MATTHEWS MINT HILL RD
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-6562
Practice Address - Country:US
Practice Address - Phone:980-237-6226
Practice Address - Fax:980-237-6226
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-19
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9673235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA624112436AMedicaid