Female

Dr. Jodi P. Jones PH.D.

Clinical Psychologist in Johnson City, TN(View on Map)

Full Name

Dr. Jodi Polaha Jones PH.D.

NPI Number

1841472586

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/05/2007

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Tennessee
Tennessee

License Number

P2737
2737

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 699
917 W WALNUT ST

City

Mountain Home
Johnson City

State

TN
TN

Postal Code

37684-0699
37604-6527

Country

US
US

Telephone Number

(423) 439-6464
(423) 439-6464

Identifiers

Identifier

1514093

Identifier State

TN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/18/2024

Provider Address

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