Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PS01760 | RI |
N | 103T00000X | Psychologist | PS01760 | RI |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TF0000X | Family Psychologist | ||
Y | 103TH0100X | Health Service | 11153 | MA |
NPI | 1558818765 |
---|---|
Provider Name | Uchenna Jones |
First Address | Norwood, MA 02062-5233 |
Second Address | Norwood, MA 02062-5233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2016 |
Last Update Date | 03/01/2020 |