Provider Demographics
NPI:1083645980
Name:JONES, ROSEMARY WOOL (PHD)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:WOOL
Last Name:JONES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4170 CARMICHAEL CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2871
Mailing Address - Country:US
Mailing Address - Phone:334-260-8299
Mailing Address - Fax:334-260-8095
Practice Address - Street 1:4170 CARMICHAEL CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2871
Practice Address - Country:US
Practice Address - Phone:334-260-8299
Practice Address - Fax:334-260-8095
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL312103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL70587OtherBCBS OF AL PROVIDER NUMBE
AL312OtherALABAMA STATE LICENSE NUM