Provider Demographics
NPI:1952506388
Name:JONES, ANNETTE LOVE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:LOVE
Last Name:JONES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13360 W HIGH RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60083-9416
Mailing Address - Country:US
Mailing Address - Phone:847-672-6521
Mailing Address - Fax:
Practice Address - Street 1:2018 DAWN LN
Practice Address - Street 2:
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099-5108
Practice Address - Country:US
Practice Address - Phone:847-731-3192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist