Individual
DR. DEVIN LANIER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 920-0214
Mailing address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 920-0214
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY60864900
WA
Other
Enumeration date
08/21/2018
Last updated
03/24/2020
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