Provider Demographics
NPI:1417173758
Name:JONES, JAMES WILLIAM III (PSYD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:JONES
Suffix:III
Gender:M
Credentials:PSYD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 OCEAN AVE
Mailing Address - Street 2:#30
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-5343
Mailing Address - Country:US
Mailing Address - Phone:732-728-0969
Mailing Address - Fax:
Practice Address - Street 1:510 OCEAN AVE
Practice Address - Street 2:#30
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-5368
Practice Address - Country:US
Practice Address - Phone:732-728-0969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSIO2451103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist