Basic Information
| Provider Information | |||||||||
| NPI: | 1255685301 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.A CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 653 | ||||||||
| Address2: | |||||||||
| City: | ORIENTAL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 285710653 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2522597419 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1303 HEALTH DR | ||||||||
| Address2: | |||||||||
| City: | NEW BERN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 285604371 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2526342560 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2012 | ||||||||
| LastUpdateDate: | 10/27/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 9795 | NC | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.