Individual
SUSAN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
918 BROADWAY, SOUTH PORTLAND, ME 04106-4329
(207) 615-4930
Mailing address
PO BOX 2823, SOUTH PORTLAND, ME 04116-2823
(207) 615-4930
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS1012
ME
Other
Enumeration date
04/08/2006
Last updated
04/14/2009
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