Provider Demographics
NPI:1639450265
Name:JONES, JULIA M (SLP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name: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 1:1213 WOODSTOCK CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-3344
Mailing Address - Country:US
Mailing Address - Phone:405-474-9424
Mailing Address - Fax:405-447-1979
Practice Address - Street 1:1213 WOODSTOCK CT
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-3344
Practice Address - Country:US
Practice Address - Phone:405-474-9424
Practice Address - Fax:405-447-1979
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4267235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC018TEOtherNC BLUE CROSS AND BLUE SHIELD GROUP BILLING NUMBER