Basic Information
Provider Information
NPI: 1043738529
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REES-JONES
FirstName: ANGHARAD
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PH.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 520 E TULARE AVE
Address2:  
City: VISALIA
State: CA
PostalCode: 932923629
CountryCode: US
TelephoneNumber: 5596230900
FaxNumber:  
Practice Location
Address1: 520 E TULARE AVE
Address2:  
City: VISALIA
State: CA
PostalCode: 93292
CountryCode: US
TelephoneNumber: 5596230900
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/05/2017
LastUpdateDate: 12/10/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/10/2019

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TF0200XPSY31342CAY Behavioral Health & Social Service ProvidersPsychologistForensic

No ID Information.


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