Provider Demographics
NPI:1518042431
Name:JONES, JAMES LAMAR (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LAMAR
Last Name:JONES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8555 CEDAR PLACE DR.
Mailing Address - Street 2:SUITE 113A
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46290
Mailing Address - Country:US
Mailing Address - Phone:317-962-8385
Mailing Address - Fax:317-962-1352
Practice Address - Street 1:8555 CEDAR PLACE
Practice Address - Street 2:SUITE 113A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46290
Practice Address - Country:US
Practice Address - Phone:317-962-8385
Practice Address - Fax:317-962-1352
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN953023103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist