Individual
DR. CATHARINA ANN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 BEDFORD DR, SUITE A, MELBOURNE, FL 32940-1900
(321) 259-1662
Mailing address
9200 MONTGOMERY RD STE 23B, MONTGOMERY, OH 45242-7794
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08273
OH
103TC0700X
Clinical Psychologist
PY9617
FL
Other
Enumeration date
08/17/2009
Last updated
08/24/2022
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