Individual
DR. GERALD JORDAN NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
559 VINCENT ST, COLORADO SPRINGS, CO 80914-1541
(719) 556-7804
Mailing address
3565 HAZELWOOD CT, COLORADO SPRINGS, CO 80918-6407
(765) 702-3884
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4658
CO
Other
Enumeration date
07/25/2013
Last updated
04/05/2021
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