Provider Demographics
NPI:1275049009
Name:JONES, DOROTHY ANN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LAWRENCE DR
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-5966
Mailing Address - Country:US
Mailing Address - Phone:815-351-4284
Mailing Address - Fax:
Practice Address - Street 1:281 W JOHN CASEY RD
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-1392
Practice Address - Country:US
Practice Address - Phone:815-351-4284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-15
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist