J M Jordan Psychology Professional Corporation

NPI #1265211023 in Eagle, Idaho

Provider Information

NPI Number: 1265211023
Entity Type: Organization
Organization Name: J M Jordan Psychology Professional Corporation
Primary Specialty: Psychologist - Clinical
Enumeration Date: Sep 21, 2023
Last Updated: Sep 21, 2023

Practice Location

Address: 1065 E WINDING CREEK DR STE 250
City: Eagle
State: Idaho
ZIP Code: 83616-7246
Phone: (208) 805-2324

Authorized Official

Name: JENNIFER JORDAN, PSYD
Title: DIRECTOR
Phone: (925) 724-3427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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