Provider Demographics
NPI:1336334861
Name:JONES, JO ANN (MS IN SPEECH LANGUAG)
Entity Type:Individual
Prefix:MRS
First Name:JO
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:MS IN SPEECH LANGUAG
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1336
Mailing Address - Street 2:JOANN JONES
Mailing Address - City:PINEVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:24874-1336
Mailing Address - Country:US
Mailing Address - Phone:304-732-7966
Mailing Address - Fax:304-732-7966
Practice Address - Street 1:ROUTE 10
Practice Address - Street 2:WYOMING COUNTY BOARD OF EDUCATION
Practice Address - City:PINEVILLE
Practice Address - State:WV
Practice Address - Zip Code:24874
Practice Address - Country:US
Practice Address - Phone:304-732-6262
Practice Address - Fax:304-732-8569
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0155346000Medicaid