Individual
DR. HALLIE RAY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 507-2000
Mailing address
1213 MANDOLIN ST, NEW ORLEANS, LA 70122-1816
(810) 610-3413
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
621129
MS
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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