Healthcare Provider Details

I. General information

NPI: 1699190306
Provider Name (Legal Business Name): JONES-WOOD PSYCHOLOGICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 11/18/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9826 WASHINGTON ST
CHAGRIN FALLS OH
44023-5486
US

IV. Provider business mailing address

9826 WASHINGTON ST
CHAGRIN FALLS OH
44023-5486
US

V. Phone/Fax

Practice location:
  • Phone: 440-708-0188
  • Fax: 440-708-0368
Mailing address:
  • Phone: 440-708-0188
  • Fax: 440-708-0368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. LYNN ANN LUNA JONES
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 440-708-0188