Organization
MANDY JORDAN PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANDY JO JORDAN PH.D. (CLINICAL PSYCHOLOGIST)
(817) 916-8200
Entity
Organization
Contact information
Practice address
3509 HULEN ST STE 107, FORT WORTH, TX 76107-6800
(817) 916-8200
Mailing address
3509 HULEN ST STE 107, FORT WORTH, TX 76107-6800
(817) 916-8200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34438
TX
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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