Provider Demographics
NPI:1689618266
Name:JONES, CAROLYN A (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:A
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 1:3200 N. DOBSON RD
Mailing Address - Street 2:SUITE D3
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224
Mailing Address - Country:US
Mailing Address - Phone:480-650-9144
Mailing Address - Fax:480-264-2763
Practice Address - Street 1:3200 N. DOBSON RD
Practice Address - Street 2:SUITE D3
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:480-650-9144
Practice Address - Fax:480-965-3426
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1939103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling