Rollo Warren Jones Jr.

Individual provider Active NPI Clinical Psychologist · New Market, MD

NPI 1942852041 · NPPES record last updated Jul 10, 2019

Key facts

NPI
1942852041
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
716654 (MD)
Practice address
10707 Grangerford CT
New Market, MD 21774-6244
Phone
(240) 439-0627
NPI assigned
Jul 10, 2019
Sex
Male
Sole proprietor
Yes

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
716654MDMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 716654 MD
Clinical Psychologist 103TC0700X 716654 MD Yes

Addresses

Primary practice location

10707 Grangerford CT
New Market, MD 21774-6244

Mailing address

10707 Grangerford CT
New Market, MD 21774-6244
Phone (240) 439-0627

Other identifiers

IdentifierTypeStateIssuer
1242MedicaidMD

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Rollo.Jones@fcps.org Direct

Other providers in New Market, MD

All providers in New Market, MD · Clinical Psychologist in Maryland

Sources for this page

Verify at the official NPI Registry.