Provider Demographics
NPI:1043799315
Name:JONES, JANICE KAY (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:KAY
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 VILLAGE DALE AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3590
Mailing Address - Country:US
Mailing Address - Phone:832-474-7118
Mailing Address - Fax:281-481-8526
Practice Address - Street 1:11902 RESOURCE PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6086
Practice Address - Country:US
Practice Address - Phone:281-922-6802
Practice Address - Fax:281-922-6802
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16494235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist