Doctor Name: | MRS. REBECCA DODRILL JONES |
NPI Number: | 1265604946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA MA CAS |
License Number: | 10066 |
Business Practice Address: | 411 North Hill Road Braxton Country Board Of Education Sutton, WV - 26601 |
Business Phone Number: | 3047657101 |
Business Fax Number: | 3047657148 |
Mailing Address: | 411 North Hill Road, SUTTON |
State: | WV |
Postal Code: | 266011147 |
Phone Number: | 3047657101 |
Fax Number: | 3047657148 |
NPI Enumeration Date: | 04/02/2008 |
NPI Last Update Date: | 04/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 10066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |