GWENYTH JONES PHD
Clinical Neuropsychologist
Westfield, New Jersey
Provider NPI: 1154319317
Provider Information:GWENYTH JONES PHD
Gender: F
Sole Proprietor
Practice Location:
120 WYCHWOOD RD WESTFIELD, NJ 07090 US
Tel: 908-233-1817 Fax: --
Business Mailing Address:
120 WYCHWOOD RD WESTFIELD, NJ 07090 US
Tel: 908-233-1817 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NY | 005360-1 |
X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NJ | 35S100258100 |
X | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | NJ | 35S100258100 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0051381 | NJ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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