Individual
DR. JORDAN FREDERICK LIEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
200 N MONROE ST, MEDIA, PA 19063-2908
(610) 804-5106
Mailing address
407 KENT RD., BALA CYNWYD, PA 19004
(610) 804-5106
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016639
PA
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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