MEDICARE: DR. CHERYL JONES PSY.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
1	101Y00000X	Counselor
2	103T00000X	Psychologist	PSY-005278	AZ

General Provider Information

NPI Number	:	1588190375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL JONES PSY.D

Provider Business Mailing Address
First Line	:	3114 W LYNNE LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-5226
Country	:	US
Telephone Number	:	479-353-6349
Fax Number	:

Provider Business Practice Location Address
First Line	:	3114 W LYNNE LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-5226
Country	:	US
Telephone Number	:	479-353-6349
Fax Number	:

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

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	12/23/2024

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