Provider Demographics
NPI:1184491003
Name:JONES, EMILLE (PHD)
Entity type:Individual
Prefix:DR
First Name:EMILLE
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 LAKEVIEW TER
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-1811
Mailing Address - Country:US
Mailing Address - Phone:475-209-4786
Mailing Address - Fax:
Practice Address - Street 1:130 LAKEVIEW TER
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1811
Practice Address - Country:US
Practice Address - Phone:475-209-4786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist