Individual
JORDYN ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60052 VICTORY LN, SCOTTSBLUFF, NE 69361-5530
(303) 918-3120
Mailing address
1306 9TH AVE, SCOTTSBLUFF, NE 69361-3790
(308) 635-6259
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026606601
—
NE
Enumeration date
10/01/2018
Last updated
10/01/2018
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