Provider Demographics
NPI:1023433349
Name:JONES, LIZ P (MSED)
Entity type:Individual
Prefix:
First Name:LIZ
Middle Name:P
Last Name:JONES
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 VIEW ST
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-2027
Mailing Address - Country:US
Mailing Address - Phone:914-772-0265
Mailing Address - Fax:914-288-9805
Practice Address - Street 1:12 VIEW ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-2027
Practice Address - Country:US
Practice Address - Phone:914-772-0265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency