Organization
JONES PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEPHEN JONES LLP (OWNER)
(810) 966-1972
Entity
Organization
Contact information
Practice address
805 SUPERIOR ST, STE A, PORT HURON, MI 48060-3771
(810) 966-1972
(810) 966-1973
Mailing address
805 SUPERIOR ST, STE A, PORT HURON, MI 48060-3771
(810) 966-1972
(810) 966-1973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011246
MI
2084P0800X
Psychiatry Physician
4301051834
MI
Other
Enumeration date
04/13/2012
Last updated
06/18/2012
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