Provider Demographics
NPI:1992180541
Name:JONES, HUGH LEE-ZACHARY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:LEE-ZACHARY
Last Name:JONES
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3678 FILLMORE ST S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7557
Mailing Address - Country:US
Mailing Address - Phone:218-230-4410
Mailing Address - Fax:
Practice Address - Street 1:3678 FILLMORE ST S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7557
Practice Address - Country:US
Practice Address - Phone:218-230-4410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1438235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist