Individual
DR. MICHAEL STEPHEN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., H.S.P.P.
Contact information
Practice address
8510 EVERGREEN AVE, SUITE 106, INDIANAPOLIS, IN 46240-2338
(317) 778-8525
Mailing address
5219 N COLLEGE AVE, APARTMENT 702, INDIANAPOLIS, IN 46220-3185
(317) 532-7289
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042631A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201130340
—
IN
Enumeration date
09/11/2009
Last updated
03/23/2017
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