Provider Demographics
NPI:1992936504
Name:JONES, KRISTEN MILIE' (PSYD)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:MILIE'
Last Name:JONES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8211 W BROWARD BLVD STE 370
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2737
Mailing Address - Country:US
Mailing Address - Phone:954-288-7443
Mailing Address - Fax:
Practice Address - Street 1:8211 W BROWARD BLVD STE 370
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2737
Practice Address - Country:US
Practice Address - Phone:954-306-8819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7637103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist