Individual
JORDAN DEHERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 SW GAGE BLVD, TOPEKA, KS 66604-3340
(785) 272-0778
Mailing address
2000 SW GAGE BLVD, TOPEKA, KS 66604-3340
(785) 272-0778
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03275-T
KS
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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