Provider Demographics
NPI:1588685630
Name:JONES, STANTON C (AUD)
Entity Type:Individual
Prefix:
First Name:STANTON
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 N 12TH ST APT 14
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93433-1432
Mailing Address - Country:US
Mailing Address - Phone:619-746-7050
Mailing Address - Fax:
Practice Address - Street 1:676 N 12TH ST APT 14
Practice Address - Street 2:
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-1432
Practice Address - Country:US
Practice Address - Phone:619-746-7050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2144231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist