Jordan Charles Engelhard, DLLP

NPI #1508119892 in Spring Lake, Michigan

Provider Information

NPI Number: 1508119892
Entity Type: Individual
Name: Jordan Charles Engelhard, DLLP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: DLLP
Enumeration Date: Oct 24, 2012
Last Updated: Oct 24, 2012

Practice Location

Address: 17325 VAN WAGONER RD
City: Spring Lake
State: Michigan
ZIP Code: 49456-9702
Phone: (616) 847-5145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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