Provider Demographics
NPI:1083006621
Name:JONES, JENNIFER ROCHELLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ROCHELLE
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 1:266 KING GEORGE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5120
Mailing Address - Country:US
Mailing Address - Phone:888-244-5373
Mailing Address - Fax:908-580-0791
Practice Address - Street 1:266 KING GEORGE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-5120
Practice Address - Country:US
Practice Address - Phone:888-244-5373
Practice Address - Fax:908-580-0791
Is Sole Proprietor?:No
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00431300101YP2500X
NY020896103T00000X
NJ5427103T00000X
NJ861724103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool