Individual provider · NPI-1
Lyndon C Jones, LICSW
Psychologist, Clinical Child & Adolescent · Stoughton, MA
NPI number1548258593
StatusActive
Last updated in NPPESSep 3, 2008
Details
- NPI
- 1548258593
- Entity type
- Individual (NPI-1)
- Name
- Lyndon C Jones
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2005
- Last updated
- Sep 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 107300 | MA | Yes |
Practice location
966a Park StSte 4
Stoughton, MA 02072-0516
Phone 781-341-0923 · Fax 781-341-0994
Mailing address
966a Park StSte 4
Stoughton, MA 02072-0516
Phone 781-341-0923 · Fax 781-341-0994
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