Provider Demographics
NPI:1073747861
Name:JONES, LINDY RAE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDY
Middle Name:RAE
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 1:245 LOCUST CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LONOKE
Mailing Address - State:AR
Mailing Address - Zip Code:72086-9177
Mailing Address - Country:US
Mailing Address - Phone:501-676-5693
Mailing Address - Fax:
Practice Address - Street 1:2200 POPLAR STREET
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72115-0687
Practice Address - Country:US
Practice Address - Phone:501-771-8093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2664235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist