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NPI Code Detail

MEDICARE: DR. LESLIE NICOLE JONES PH.D.

MEDICARE: DR. LESLIE NICOLE 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
1103TC1900XCounseling Psychologist2006038986MO

General Provider Information

NPI Number : 1467595124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE NICOLE JONES PH.D.
Provider Business Mailing Address
First Line : 400 E 6TH ST
Second Line :
City : PARKVILLE
State : MO
Zip : 64152-3703
Country : US
Telephone Number : 816-587-4100
Fax Number :
Provider Business Practice Location Address
First Line : 400 E 6TH ST
Second Line :
City : PARKVILLE
State : MO
Zip : 64152-3703
Country : US
Telephone Number : 816-587-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 09/11/2012

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