Provider Demographics
NPI:1235433814
Name:JONES, KATE L (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ADAMS AVENUE
Mailing Address - Street 2:
Mailing Address - City:PHILA.,
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2102
Mailing Address - Country:US
Mailing Address - Phone:215-279-9666
Mailing Address - Fax:215-279-9674
Practice Address - Street 1:500 ADAMS AVENUE
Practice Address - Street 2:
Practice Address - City:PHILA.,
Practice Address - State:PA
Practice Address - Zip Code:19120-2102
Practice Address - Country:US
Practice Address - Phone:215-279-9666
Practice Address - Fax:215-279-9674
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016685103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical