Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PS018291 | PA |
NPI | 1215594460 |
---|---|
Provider Name | Neil Jones |
First Address | Pittsburgh, PA 15213-2561 |
Second Address | Pittsburgh, PA 15213-3308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2019 |
Last Update Date | 15/06/2021 |