Individual
SCOTT T JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
103 S MAIN ST, MIDDLETOWN, CT 06457-3651
(960) 344-6394
(860) 344-6748
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(960) 344-6394
(860) 344-6748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002573
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002573
CLINICAL PSYCHOL CONN STI
CT
Enumeration date
02/25/2006
Last updated
11/16/2007
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