Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY19794 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY19794 | CA |
N | 102L00000X | Psychologist | 19794 | CA |
N | 103T00000X | Psychologist | 19794 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | 19794 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 19794 | CA |
N | 103G00000X | Clinical Psychologist | 19794 | CA |
N | 103TC0700X | Clinical Psychologist | 19794 | CA |
N | 103TH0100X | Health Service | 19794 | CA |
N | 103TR0400X | Rehabilitation Psychologist | 19794 | CA |
NPI | 1740223254 |
---|---|
Provider Name | Dr. Tatyana G Jones |
First Address | Downey, CA 90242-3456 |
Second Address | Downey, CA 90242-3456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 06/02/2013 |