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General NPI Number Information
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NPI Number | 1801038708
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Entity Type | Individual
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Provider Name | SHALLIMAR M JONES PHD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | WALTER REED ARMY MEDICAL CTR 6900 GEORGIA AVENUE, N.W.
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City | WASHINGTON
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State | DC
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Zip | 20307-0001
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Country | US
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Telephone | 301-706-6678
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Fax |
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Provider Business Mailing Address
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Address Line | 18585 COASTAL HWY UNIT 10 PMB 2021
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City | REHOBOTH
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State | DE
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Zip | 19971
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Country | US
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Telephone | 302-414-0963
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | B1-0000806
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04495
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License Number State | MD
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