Provider Demographics
NPI:1164513792
Name:JONES, TAMARA MAUREEN (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:MAUREEN
Last Name:JONES
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:MAUREEN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7660 BLUFF POINT LN
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-7927
Mailing Address - Country:US
Mailing Address - Phone:443-801-7927
Mailing Address - Fax:
Practice Address - Street 1:10910 CLARKSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-6106
Practice Address - Country:US
Practice Address - Phone:410-313-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7993235Z00000X
MD05444235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist