Individual
JULIE S JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
890 W FARIS RD, SUITE 470, GREENVILLE, SC 29605-4253
(864) 455-5938
(864) 455-8238
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
877
SC
208000000X
Pediatrics Physician
877
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0379
—
SC
Enumeration date
05/16/2006
Last updated
05/25/2021
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