Individual
JORDAN MICHELLE SURINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 W GLENN DR STE 310, GLENDALE, AZ 85301-2482
(602) 888-8882
Mailing address
6107 E OYER LN, CAVE CREEK, AZ 85331-2545
(702) 417-4695
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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