Individual
DEANNA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4808 SAN TIMOTEO AVE NW, ALBUQUERQUE, NM 87114-3833
(505) 328-0443
(505) 898-7378
Mailing address
4808 SAN TIMOTEO AVE NW, ALBUQUERQUE, NM 87114-3833
(505) 328-0443
(505) 898-7378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1896
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10026765
LOVELACE HEALTH PLAN
NM
05
—
67308066
—
NM
01
—
QMYPR0072409
MOLINA HEALTH CARE
NM
Enumeration date
10/04/2006
Last updated
06/04/2015
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