Doctor Name: | LESLIE D. JONES |
NPI Number: | 1285723239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | P0000001482 |
Business Practice Address: | 82 Kirby Smith Rd Sewanee, TN - 373752420 |
Business Phone Number: | 9316362687 |
Business Fax Number: | 9315989240 |
Mailing Address: | 82 Kirby Smith Rd, SEWANEE |
State: | TN |
Postal Code: | 373752420 |
Phone Number: | 9316362687 |
Fax Number: | 9315989240 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 08/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | P0000001482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |