Organization Name: | MARY EMMA B JONES PHD PC |
NPI Number: | 1275711509 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY EMMA B JONES (OWNER/PSYCHOLOGIST) |
Mailing Address: | 189 Rogers St Blairsville |
State: | GA US |
Postal Code: | 305128508 |
Phone Number: | 7067452872 |
Fax Number: | 7067454644 |
NPI Enumeration Date: | 02/08/2008 |
NPI Last Update Date: | 02/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PSY002217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |