Individual
DR. PAULINE HOPPER JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
132 E PUTNAM AVE, COS COB, CT 06807-2744
(203) 622-9868
Mailing address
132 E PUTNAM AVE, COS COB, CT 06807-2744
(203) 622-9868
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
001907
CT
103T00000X
Psychologist
Primary
001907
CT
103TC0700X
Clinical Psychologist
001907
CT
103TC2200X
Clinical Child & Adolescent Psychologist
001907
CT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
001907
CT
Other
Enumeration date
03/17/2007
Last updated
09/11/2025
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