Provider Demographics
NPI:1073726998
Name:JONES, HAROLD HOUSTON III (PHD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:HOUSTON
Last Name:JONES
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3145 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2405
Mailing Address - Country:US
Mailing Address - Phone:816-223-6740
Mailing Address - Fax:816-561-3939
Practice Address - Street 1:3145 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2405
Practice Address - Country:US
Practice Address - Phone:816-223-6740
Practice Address - Fax:816-561-3939
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMO01080103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO342356OtherPID