Organization
PREMIER PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SANSOM JONES PHD (SOLE PROPRIETOR)
(906) 228-6200
Entity
Organization
Contact information
Practice address
1300 W RIDGE ST, SUITE 2, MARQUETTE, MI 49855-3194
(906) 228-6200
(906) 228-6244
Mailing address
1300 W RIDGE ST, SUITE 2, MARQUETTE, MI 49855-3194
(906) 228-6200
(906) 228-6244
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E20193
BCBS
MI
01
—
0E20205
BCBS PROVIDER
MI
Enumeration date
08/11/2009
Last updated
09/22/2022
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