Provider Demographics
NPI:1255604138
Name:JONES, DAYNA MICHAL (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:MICHAL
Last Name:JONES
Suffix:
Gender:F
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 1:32 EVELYN DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3463
Mailing Address - Country:US
Mailing Address - Phone:412-716-9669
Mailing Address - Fax:
Practice Address - Street 1:1099 MAPLE STREET EXT
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2910
Practice Address - Country:US
Practice Address - Phone:412-264-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010538235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist