Provider Demographics
NPI:1053510537
Name:JONES, BILLIE S (CF-SLP)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:S
Last Name:JONES
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1213
Mailing Address - Street 2:57 POST OAK LANE
Mailing Address - City:MOUNT IDA
Mailing Address - State:AR
Mailing Address - Zip Code:71957-1213
Mailing Address - Country:US
Mailing Address - Phone:870-867-4027
Mailing Address - Fax:
Practice Address - Street 1:741 SOUTH DRIVE
Practice Address - Street 2:
Practice Address - City:MOUNT IDA
Practice Address - State:AR
Practice Address - Zip Code:71957-1208
Practice Address - Country:US
Practice Address - Phone:870-867-2156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist