Provider Demographics
NPI:1467573386
Name:MOORE- JONES, ANN M (SLP)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:MOORE- JONES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2758 GENESEE STREET
Mailing Address - Street 2:
Mailing Address - City:RETSOF
Mailing Address - State:NY
Mailing Address - Zip Code:14539
Mailing Address - Country:US
Mailing Address - Phone:585-243-5296
Mailing Address - Fax:585-243-5269
Practice Address - Street 1:2758 GENESEE STREET
Practice Address - Street 2:
Practice Address - City:RETSOF
Practice Address - State:NY
Practice Address - Zip Code:14539
Practice Address - Country:US
Practice Address - Phone:585-243-5296
Practice Address - Fax:585-243-5269
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04902235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist