Organization
SUSAN K JONES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN K JONES PHD (CLINICAL PSYCHOLOGIST)
(843) 697-1573
Entity
Organization
Contact information
Practice address
105 CENTRAL AVE UNIT 7, GOOSE CREEK, SC 29445-3269
(843) 697-1573
Mailing address
1213 SAINT JOHNS AVE, MONCKS CORNER, SC 29461-9203
(843) 697-1573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225335169
NPPES
—
Enumeration date
09/24/2019
Last updated
10/31/2019
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