Provider Demographics
NPI:1215180567
Name:JONES, JANICE TERUKO (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:TERUKO
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 1:1000 W CARSON ST # 498
Mailing Address - Street 2:DMH HARBOR-UCLA OUTPATIENT SERVICES
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2004
Mailing Address - Country:US
Mailing Address - Phone:310-222-1620
Mailing Address - Fax:310-328-6822
Practice Address - Street 1:1000 W CARSON ST # 498
Practice Address - Street 2:DMH HARBOR-UCLA OUTPATIENT SERVICES
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:310-222-1620
Practice Address - Fax:310-328-6822
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 20078103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical