Provider Demographics
NPI:1366765315
Name:JONES, TANYA JILL (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:TANYA
Middle Name:JILL
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:JILL
Other - Last Name:MCCLAID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13611 SKINNER RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1018
Mailing Address - Country:US
Mailing Address - Phone:832-593-6767
Mailing Address - Fax:832-593-6868
Practice Address - Street 1:13611 SKINNER RD
Practice Address - Street 2:SUITE 250
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1018
Practice Address - Country:US
Practice Address - Phone:832-593-6767
Practice Address - Fax:832-593-6868
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101274235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist