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Provider Information for 1588190375


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Dr. CHERYL JONES Psy.D


Sex: Female

NPI: 1588190375
Last Updated: 2024-12-23
Certification Date: 2024-12-23

Details

NameValue
NPI1588190375
Enumeration Date2017-05-11
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3114 W LYNNE LN
PHOENIX, AZ 85041-5226
United States

Phone: 479-353-6349 | Fax:
 
Primary Practice Address 3114 W LYNNE LN
PHOENIX, AZ 85041-5226
United States

Phone: 479-353-6349 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor
Yes 103T00000X - Psychologist AZPSY-005278