Provider Demographics
NPI:1679563902
Name:JONES, DOROTHY SCHMUCK (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:SCHMUCK
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 1:97 PARKS RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY GROVE
Mailing Address - State:WV
Mailing Address - Zip Code:26060-8903
Mailing Address - Country:US
Mailing Address - Phone:304-547-1590
Mailing Address - Fax:
Practice Address - Street 1:1100 CHAPLINE ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3643
Practice Address - Country:US
Practice Address - Phone:304-232-0511
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV132103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHY516993OtherHEALTH PLAN OF UPPER OHIO
482496OtherBLUE CROSS BLUE SHIELD
WVY516993OtherHEALTH PLAN OF UPPER OHIO
482496OtherBLUE CROSS BLUE SHIELD