Provider Demographics
NPI:1942610951
Name:JONES, VONTIA (PSYCHOLOGY MS)
Entity Type:Individual
Prefix:
First Name:VONTIA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PSYCHOLOGY MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 W CAYUGA ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-1934
Mailing Address - Country:US
Mailing Address - Phone:215-789-5246
Mailing Address - Fax:215-600-5801
Practice Address - Street 1:1441 W CAYUGA ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-1934
Practice Address - Country:US
Practice Address - Phone:215-789-5246
Practice Address - Fax:215-600-5801
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)