Individual
DR. LANI M JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, HSPP
Contact information
Practice address
2205 N WHEELING AVE, MUNCIE, IN 47303-1602
(765) 287-1922
Mailing address
2205 N WHEELING AVE, MUNCIE, IN 47303-1602
(765) 287-1922
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
20042776
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201252250
—
IN
Enumeration date
04/28/2014
Last updated
09/13/2018
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