Provider Demographics
NPI:1780827808
Name:JONES, ANGELA RENAE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:RENAE
Last Name:JONES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:JONES
Other - Last Name:HUDGINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:8368 HUDGINS CIR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23436-1240
Mailing Address - Country:US
Mailing Address - Phone:757-286-0593
Mailing Address - Fax:757-233-0327
Practice Address - Street 1:228 N LYNNHAVEN RD
Practice Address - Street 2:SUITE 107
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7514
Practice Address - Country:US
Practice Address - Phone:757-228-5635
Practice Address - Fax:757-233-0327
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling