Provider Demographics
NPI:1265532865
Name:JONES INSTITUTE FOR REHABILITATIVE AUDIOLOGY, LLC
Entity type:Organization
Organization Name:JONES INSTITUTE FOR REHABILITATIVE AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIBETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, CCC-A, FAAA
Authorized Official - Phone:205-795-2059
Mailing Address - Street 1:300 VESTAVIA PKWY
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-7714
Mailing Address - Country:US
Mailing Address - Phone:205-795-2059
Mailing Address - Fax:205-823-7758
Practice Address - Street 1:300 VESTAVIA PKWY
Practice Address - Street 2:SUITE 2300
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-7714
Practice Address - Country:US
Practice Address - Phone:205-795-2059
Practice Address - Fax:205-823-7758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-23
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL798A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty