Provider Demographics
NPI:1306914668
Name:JONES, WESLEY CARLTON (PHD)
Entity type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:CARLTON
Last Name:JONES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 COMMERCIAL ST STE 517
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-4081
Mailing Address - Country:US
Mailing Address - Phone:620-342-4473
Mailing Address - Fax:620-342-1157
Practice Address - Street 1:527 COMMERCIAL ST STE 517
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-4081
Practice Address - Country:US
Practice Address - Phone:620-342-4473
Practice Address - Fax:620-342-1157
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS171103TC0700X
KS122106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist