Provider Demographics
NPI:1427191386
Name:JONES, JANINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANINE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JANINE
Other - Middle Name:
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:5224 WILSON AVE S
Mailing Address - Street 2:SUITE 101A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2587
Mailing Address - Country:US
Mailing Address - Phone:206-725-1820
Mailing Address - Fax:206-725-1890
Practice Address - Street 1:5224 WILSON AVE S
Practice Address - Street 2:SUITE 101A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2587
Practice Address - Country:US
Practice Address - Phone:206-725-1820
Practice Address - Fax:206-725-1890
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002482103TC2200X
TX4664-025294106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPY00002481OtherPSYCHOLOGIST