Susan Alexander Jones

Individual provider Active NPI School Psychologist · Odessa, DE

NPI 1265082085 · NPPES record last updated Sep 13, 2019

Key facts

NPI
1265082085
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
89261 (DE)
Practice address
313 S 5TH St
Odessa, DE 19730-2078
Phone
(302) 376-4128
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
89261DEMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware Past
since Sep 15, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 89261 DE Yes

Addresses

Primary practice location

313 S 5TH St
Odessa, DE 19730-2078

Mailing address

313 S 5TH St
Odessa, DE 19730-2078

Other providers in Odessa, DE

All providers in Odessa, DE · School Psychologist in Delaware

Sources for this page

Verify at the official NPI Registry.