Provider Demographics
NPI:1386097590
Name:JONES, CYNTHIA D D
Entity type:Individual
Prefix:
First Name:CYNTHIA D
Middle Name:D
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 GARDEN LAND CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073
Mailing Address - Country:US
Mailing Address - Phone:832-282-3493
Mailing Address - Fax:281-982-3768
Practice Address - Street 1:918 GARDEN LAND CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073
Practice Address - Country:US
Practice Address - Phone:832-282-3493
Practice Address - Fax:281-982-3768
Is Sole Proprietor?:No
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103K0000X103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)