MEDICARE: DR. HAROLD HOUSTON JONES III PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	MO01080	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	342356	OTHER	MO	PID

General Provider Information

NPI Number	:	1073726998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD HOUSTON JONES III PH.D.

Provider Business Mailing Address
First Line	:	3145 BROADWAY ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2405
Country	:	US
Telephone Number	:	816-223-6740
Fax Number	:	816-561-3939

Provider Business Practice Location Address
First Line	:	3145 BROADWAY ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2405
Country	:	US
Telephone Number	:	816-223-6740
Fax Number	:	816-561-3939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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