Individual
JORDAN L MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, MS, CGC
Contact information
Practice address
1 PARK ST, NEW HAVEN, CT 06504-8901
(203) 203-2660
Mailing address
333 CEDAR STREET, WWW 313, NEW HAVEN, CT 06510
(203) 785-2660
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
03/11/2025
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