| Gary L Jones Phd Pllc | |
|
4612 S Harvard Ave Ste A Tulsa OK 74135-2908 | |
| (918) 747-5565 | |
| (918) 747-5568 |
| Full Name | Gary L Jones Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4612 S Harvard Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Gary Lee Jones (PSYCHOLOGIST) |
| Authorized Official Contact | 9187475565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Jones Phd Pllc 4612 S Harvard Ave Ste A Tulsa OK 74135-2908 Ph: (918) 747-5565 | Gary L Jones Phd Pllc 4612 S Harvard Ave Ste A Tulsa OK 74135-2908 Ph: (918) 747-5565 |
| NPI Number | 1609054576 |
|---|---|
| Provider Enumeration Date | 02/03/2008 |
| Last Update Date | 10/28/2008 |
| Medicare PECOS PAC ID | 6204884968 |
|---|---|
| Medicare Enrollment ID | O20050202000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609054576 | NPI | - | NPPES |
| 100838650A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Gary L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841386679 PECOS PAC ID: 8729039201 Enrollment ID: I20050208000972 |
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