Individual
DR. WILLIAM TRAVIS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
4037 TAYLOR RD STE C, CHESAPEAKE, VA 23321-5500
(757) 609-3677
(757) 299-4214
Mailing address
4037 TAYLOR RD STE C, CHESAPEAKE, VA 23321-5500
(757) 609-3677
(757) 299-4214
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004861
VA
Other
Enumeration date
10/24/2013
Last updated
07/21/2022
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