MEDICARE: DR. ALICIA JONES PHD

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	103T00000X	Psychologist	39129	TX

General Provider Information

NPI Number	:	1134911183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICIA JONES PHD

Provider Business Mailing Address
First Line	:	8720 SILVERADO TRL STE 3B
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2413
Country	:	US
Telephone Number	:	469-986-5370
Fax Number	:

Provider Business Practice Location Address
First Line	:	8720 SILVERADO TRL STE 3B
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2413
Country	:	US
Telephone Number	:	469-986-5370
Fax Number	:

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

Provider Enumeration Date	:	05/17/2025
Last Update Date	:	05/17/2025

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