NPI Code Details Logo

NPI 1053714592

NPI 1053714592 : DANNIELLA EBETH JONES PSY.D. : ATLANTA, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1053714592
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DANNIELLA EBETH JONES PSY.D.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/29/2014
-----------------------------------------------------
    Last Update Date     |    08/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8735 DUNWOODY PL STE N 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30350-2995
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    509-768-2249
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1361 BRIARVISTA WAY NE 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30329-3633
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    678-834-4733
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    PSY004761
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.