Jones, Phaedra Shawntia

Jones, Phaedra Shawntia is an individual health care provider with primary practice located at 340 Main St Ste 818 , Worcester MA 01608-1692. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jones, Phaedra Shawntia can be contacted via phone (508) 791-4976.

Contact Information

Primary practice address
340 Main St Ste 818 Worcester MA 01608-1692
Phone: (508) 791-4976
Fax: (508) 791-6723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1932443603
LBN Legal business name Jones, Phaedra Shawntia
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2012
Last updated Oct 8th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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