Provider Demographics
NPI:1033622121
Name:JONES, PATRICIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3575 BRIDGE ROAD STE 8
Mailing Address - Street 2:PMB #247 - ATTN: PATRICIA JONES, PSY.D.
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435
Mailing Address - Country:US
Mailing Address - Phone:757-657-8063
Mailing Address - Fax:757-922-8063
Practice Address - Street 1:204 KING OF FRANCE CT
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1468
Practice Address - Country:US
Practice Address - Phone:410-627-4752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-10
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA081005711103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA081005711OtherLICENSE