Individual
PREMALA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4198 PINE DR, ROOTSTOWN, OH 44272-9299
(330) 347-3717
Mailing address
PO BOX 64, PENINSULA, OH 44264-0064
(330) 347-3717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7263
OH
Other
Enumeration date
03/27/2015
Last updated
04/04/2016
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