Provider Demographics
NPI:1528189701
Name:JONES, KERI (PHD)
Entity Type:Individual
Prefix:DR
First Name:KERI
Middle Name:
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:PO BOX 30515
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90853-0515
Mailing Address - Country:US
Mailing Address - Phone:562-989-5495
Mailing Address - Fax:562-989-5490
Practice Address - Street 1:5848 E NAPLES PLZ
Practice Address - Street 2:STE. 201
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-5000
Practice Address - Country:US
Practice Address - Phone:562-989-5495
Practice Address - Fax:562-989-5490
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 15539103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical