Provider Demographics
NPI:1992949671
Name:DILLON, JONI RENEE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JONI
Middle Name:RENEE
Last Name:DILLON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:JONI
Other - Middle Name:RENEE
Other - Last Name:TONKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-
Mailing Address - Street 1:4406 OAK CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-2829
Mailing Address - Country:US
Mailing Address - Phone:512-608-1300
Mailing Address - Fax:
Practice Address - Street 1:15901 CENTRAL COMMERCE DR
Practice Address - Street 2:SUITE 301
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2041
Practice Address - Country:US
Practice Address - Phone:512-608-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101890235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist