Individual
DR. ELIZABETH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
201 E LIBERTY ST, SUITE 15, ANN ARBOR, MI 48104-2118
(734) 662-9795
(734) 662-9795
Mailing address
201 E LIBERTY ST, SUITE 15, ANN ARBOR, MI 48104-2118
(734) 662-9795
(734) 662-9795
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005287
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0 H1 1383
BLUE CROSS PROVIDER CODE
—
Enumeration date
11/20/2006
Last updated
07/08/2007
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