Provider Demographics
NPI:1891084919
Name:JONES, KAREN LEIGH (PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEIGH
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 1:2530 CHESTER KIMM RD
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-8130
Mailing Address - Country:US
Mailing Address - Phone:509-663-7615
Mailing Address - Fax:
Practice Address - Street 1:2530 CHESTER KIMM RD
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-8130
Practice Address - Country:US
Practice Address - Phone:509-663-7615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003395103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist