Individual
JAMIE PIVONKA-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2195 CLUB CENTER DR STE A, SAN BERNARDINO, CA 92408-4162
(909) 835-1899
Mailing address
2195 CLUB CENTER DR STE A, SAN BERNARDINO, CA 92408-4162
(909) 835-1899
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
23181
CA
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
06/15/2021
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