Doctor Name: | DR. SCOTT NELSON JONES |
NPI Number: | 1093778573 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 02725 |
Business Practice Address: | Vamhcs, Perry Point Division, Avenue D Perry Point, MD - 21902 |
Business Phone Number: | 4106422411 |
Business Fax Number: | 4106421150 |
Mailing Address: | Vamhcs, Perry Point Division, Avenue D, Building 80, #129a PERRY POINT |
State: | MD |
Postal Code: | 21902 |
Phone Number: | 4106422411 |
Fax Number: | 4106421150 |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 02725 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |