Doctor Name: | DR. GRACE W. JONES |
NPI Number: | 1407899834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 03697 |
Business Practice Address: | 1425 Liberty Rd Ste 208 Eldersburg, MD - 217846420 |
Business Phone Number: | 4105552077 |
Business Fax Number: | 4105520774 |
Mailing Address: | 1425 Liberty Rd, Ste 208 ELDERSBURG |
State: | MD |
Postal Code: | 217846420 |
Phone Number: | 4105552077 |
Fax Number: | 4105520774 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 03697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |