Individual
DR. KELLY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1600 W 38TH ST, SUITE 320, AUSTIN, TX 78731-6400
(512) 628-1896
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 308, AUSTIN, TX 78723-3077
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
37502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366047401
—
TX
05
—
366047402
—
TX
Enumeration date
10/28/2014
Last updated
03/24/2017
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