Provider Demographics
NPI:1043458755
Name:JONES, BETHANY VICTORIA (MT-BC, NMT)
Entity Type:Individual
Prefix:MISS
First Name:BETHANY
Middle Name:VICTORIA
Last Name:JONES
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E VAN BUREN ST APT 2077
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-4033
Mailing Address - Country:US
Mailing Address - Phone:269-377-6199
Mailing Address - Fax:
Practice Address - Street 1:2702 N 3RD ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1130
Practice Address - Country:US
Practice Address - Phone:602-840-6410
Practice Address - Fax:602-840-6431
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist