Michele Therese Jones, LICENSED NEW YORK ST
Individual provider Active NPI Speech-Language Pathologist · Mayville, NY
NPI 1144598129 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1144598129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- #007556-1 (NY)
- Practice address
- 100 North Erie Street
Chautauqua Lake Central School-Erie 2 Boces Program
Mayville, NY 14757 - Phone
- (716) 753-5843
- Fax
- (716) 753-5850
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #007556-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | #007556-1 | NY | Yes |
Addresses
Primary practice location
100 North Erie Street
Chautauqua Lake Central School-Erie 2 Boces Program
Mayville, NY 14757
Mailing address
8685 Erie Road
Erie 2-Chautauqua-Cattaraugus Boces-Carrier Center
Angola, NY 14006
Phone (716) 549-4454
Other providers in Mayville, NY
- Alycia Y Johnson
- Amy L Johnson
- Leslie Diane Johnson
- Johnsons Village Pharmacy
- Kolnae Jones
- Margaret L. Kelwaski
- Brianna L Kirwan
- Patsy H Lane
- Joan Lemke
- Rachel M Ludwig
All providers in Mayville, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.