Individual
RYAN GRANT JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1864 S KENTWOOD AVE, SPRINGFIELD, MO 65804-2323
(417) 880-6838
(417) 374-0074
Mailing address
1864 S KENTWOOD AVE, SPRINGFIELD, MO 65804-2323
(417) 880-6838
(417) 374-0074
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2013020719
MO
103TC0700X
Clinical Psychologist
2013020719
MO
Other
Enumeration date
07/08/2013
Last updated
05/24/2021
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