Individual
DR. STEPHANIE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OMD, PSYD.
Contact information
Practice address
7390 W SAHARA AVE, SUITE 235, LAS VEGAS, NV 89117-2763
(702) 382-8484
(702) 382-3755
Mailing address
7390 W SAHARA AVE, SUITE 235, LAS VEGAS, NV 89117-2763
(702) 382-8484
(702) 382-3755
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3356
FL
171100000X
Acupuncturist
Primary
1014
NV
171100000X
Acupuncturist
1164
FL
Other
Enumeration date
02/16/2007
Last updated
12/21/2010
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