Individual
DR. JORDAN LEE MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
193 BLUE RAVINE RD, #170, FOLSOM, CA 95630-4756
(916) 608-0714
(916) 608-0717
Mailing address
193 BLUE RAVINE RD, #170, FOLSOM, CA 95630-4756
(916) 608-0714
(916) 608-0717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3281
CA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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