Provider Demographics
NPI:1154534717
Name:TAYLOR-JONES, BELINDA (MA, CCC-SLP-L)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:TAYLOR-JONES
Suffix:
Gender:F
Credentials:MA, CCC-SLP-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 W 77TH PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-1206
Mailing Address - Country:US
Mailing Address - Phone:312-806-5694
Mailing Address - Fax:773-789-2253
Practice Address - Street 1:4343 W 77TH PL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-1206
Practice Address - Country:US
Practice Address - Phone:312-806-5694
Practice Address - Fax:773-789-2253
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146003334235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist