Provider Demographics
NPI:1316331390
Name:JONES, ANGELA DENISE (LPA, PHD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:DENISE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPA, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8763 COWART ST
Mailing Address - Street 2:APT/SUITE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-3320
Mailing Address - Country:US
Mailing Address - Phone:281-993-7174
Mailing Address - Fax:
Practice Address - Street 1:9736 KERR ST APT SUITE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-4218
Practice Address - Country:US
Practice Address - Phone:713-859-9647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-26
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36951103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist