Provider Demographics
NPI:1689800765
Name:JONES, CHRISHAUN MOUZON (MA SLP)
Entity Type:Individual
Prefix:
First Name:CHRISHAUN
Middle Name:MOUZON
Last Name:JONES
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:CHRISHAUN
Other - Middle Name:T
Other - Last Name:MOUZON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA SLP
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2024
Practice Address - Street 1:1830 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-8965
Practice Address - Country:US
Practice Address - Phone:803-980-4100
Practice Address - Fax:803-980-4218
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2849235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist