Individual
GABRIELE DENISE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5 REGIONAL CIR STE C, PINEHURST, NC 28374-9796
(910) 255-1000
(910) 255-1045
Mailing address
75 TROTTER HILLS CIR, PO BOX 4600, PINEHURST, NC 28374-7930
(910) 255-1000
(910) 255-1045
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2716
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045VP
BCBS PIN
NC
05
—
6000809
—
NC
01
—
Q41321B777
MEDICARE IND PTAN
NC
Enumeration date
11/06/2006
Last updated
03/14/2017
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