Individual
DR. JOHN ROBERT JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10 EXCHANGE CT, UNIT 401, PAWTUCKET, RI 02860-2261
(401) 305-3051
(401) 305-3051
Mailing address
10 EXCHANGE CT, UNIT 401, PAWTUCKET, RI 02860-2261
(401) 305-3051
(401) 305-3051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1936
MA
Other
Enumeration date
01/01/2007
Last updated
03/07/2008
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