Provider Demographics
NPI:1851729875
Name:JONES, MARCIE CAROLINE (MS SLP-CCC)
Entity Type:Individual
Prefix:MISS
First Name:MARCIE
Middle Name:CAROLINE
Last Name:JONES
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 STRATTON RD
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-3775
Mailing Address - Country:US
Mailing Address - Phone:802-770-1018
Mailing Address - Fax:
Practice Address - Street 1:22 STRATTON RD
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-3775
Practice Address - Country:US
Practice Address - Phone:802-770-1018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT6-84 EDUCATIONAL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist