Provider Demographics
NPI:1043441116
Name:JONES, JESSICA MEGAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MEGAN
Last Name:JONES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:401 QUARRY ROAD
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:401 QUARRY ROAD
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305
Practice Address - Country:US
Practice Address - Phone:650-380-7223
Practice Address - Fax:650-723-5531
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist