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NPI Code Detail

MEDICARE: JEFF P JONES PH.D.

MEDICARE:   JEFF P JONES  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
1103TC0700XClinical PsychologistPSY 11466CA

General Provider Information

NPI Number : 1629111471
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF P JONES PH.D.
Provider Business Mailing Address
First Line : 990 HIGHLAND DR
Second Line : SUITE 103
City : SOLANA BEACH
State : CA
Zip : 92075-2408
Country : US
Telephone Number : 858-793-4660
Fax Number :
Provider Business Practice Location Address
First Line : 990 HIGHLAND DR
Second Line : SUITE 103
City : SOLANA BEACH
State : CA
Zip : 92075-2408
Country : US
Telephone Number : 858-793-4660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 07/08/2007

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