Provider Demographics
NPI:1871761759
Name:JONES, MARY ALLISON (MASTERS DEGREE)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ALLISON
Last Name:JONES
Suffix:
Gender:F
Credentials:MASTERS DEGREE
Other - Prefix:MISS
Other - First Name:MARY
Other - Middle Name:ALLISON
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 HIGHWAY 149
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:TN
Mailing Address - Zip Code:37142-2900
Mailing Address - Country:US
Mailing Address - Phone:931-320-1227
Mailing Address - Fax:
Practice Address - Street 1:851 PROFESSIONAL PARK DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-5257
Practice Address - Country:US
Practice Address - Phone:931-542-2168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist