Provider Demographics
NPI:1871710616
Name:JONES, TIFFANY CAROL (MCD CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:CAROL
Last Name:JONES
Suffix:
Gender:F
Credentials:MCD CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3377 NORTH COUNTY ROAD 275
Mailing Address - Street 2:
Mailing Address - City:MANILA
Mailing Address - State:AR
Mailing Address - Zip Code:72442-0000
Mailing Address - Country:US
Mailing Address - Phone:870-561-1079
Mailing Address - Fax:
Practice Address - Street 1:2208 FOWLER AVE STE C
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6187
Practice Address - Country:US
Practice Address - Phone:870-931-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP8024235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist