Individual
JORDAN MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 PSYCHOLOGY BLDG, MEMPHIS, TN 38152-4624
(901) 678-2145
Mailing address
202 PSYCHOLOGY BLDG, MEMPHIS, TN 38152-3230
(901) 678-2145
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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