Provider Demographics
NPI:1437595071
Name:JONES, WILLIAM BYRON (CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BYRON
Last Name:JONES
Suffix:
Gender:M
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 1:714 BONNIE DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-6001
Mailing Address - Country:US
Mailing Address - Phone:843-957-6232
Mailing Address - Fax:
Practice Address - Street 1:714 BONNIE DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-6001
Practice Address - Country:US
Practice Address - Phone:843-957-6232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC956235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist