Provider Demographics
NPI:1881362929
Name:JONES, CATHY MICHELLE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:MICHELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:DOOLITTLE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:1205 CAMBRIA COVE PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7473
Mailing Address - Country:US
Mailing Address - Phone:915-740-1346
Mailing Address - Fax:
Practice Address - Street 1:7901 SANTA MONICA CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-2206
Practice Address - Country:US
Practice Address - Phone:915-434-2909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16941235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist