Provider Demographics
NPI:1184637225
Name:LUNA JONES, LYNN ANN (PHD, ABPP)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ANN
Last Name:LUNA JONES
Suffix:
Gender:F
Credentials:PHD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9826 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-5486
Mailing Address - Country:US
Mailing Address - Phone:440-708-0188
Mailing Address - Fax:330-708-0368
Practice Address - Street 1:9826 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-5486
Practice Address - Country:US
Practice Address - Phone:440-708-0188
Practice Address - Fax:330-708-0368
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6182103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling