Individual
DR. DICK D JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
821 RAYMOND AVE, #330, SAINT PAUL, MN 55114-1503
(651) 642-9255
(651) 642-1506
Mailing address
821 RAYMOND AVE, #330, SAINT PAUL, MN 55114-1503
(651) 642-9255
(651) 642-1506
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP-0361
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11611
UCARE
—
05
—
412247000
—
MN
01
—
45696
HP
—
Enumeration date
07/19/2005
Last updated
04/03/2012
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