Provider Demographics
NPI:1992926794
Name:JONES, DINAH SUE (MACCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DINAH
Middle Name:SUE
Last Name:JONES
Suffix:
Gender:F
Credentials:MACCC-SLP
Other - Prefix:MRS
Other - First Name:DINAH
Other - Middle Name:ROSS
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPEECH-LANGUAGE PATH
Mailing Address - Street 1:13251 N 13TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4933
Mailing Address - Country:US
Mailing Address - Phone:602-942-0981
Mailing Address - Fax:602-347-2225
Practice Address - Street 1:13251 N 13TH PL
Practice Address - Street 2:8610 N. 19TH AVENUE
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4933
Practice Address - Country:US
Practice Address - Phone:602-347-2292
Practice Address - Fax:602-347-2225
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ#SLP0083235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist