Individual
DR. AGNES JONAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
22 RIDERS RUN, NEWTOWN SQUARE, PA 19073-3024
(610) 883-6183
(610) 883-6183
Mailing address
22 RIDERS RUN, NEWTOWN SQUARE, PA 19073-3024
(610) 883-6183
(610) 882-2072
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS015773
PA
103T00000X
Psychologist
PS015773
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS015773
PA
103TH0004X
Health Psychologist
PS015773
PA
103TR0400X
Rehabilitation Psychologist
PS015773
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2365736000
INDEPENDENCE BLUE CROSS
PA
01
—
50054721
CAPITAL BLUE CROSS
PA
01
—
556259000
MAGELLAN BEHAVIORAL HEALT
PA
01
—
JO1769808
HIGHMARK
PA
01
—
P00263821
RAIL ROAD MEDICARE
PA
Enumeration date
12/13/2005
Last updated
10/19/2009
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