Individual
JORDAN MACKENZEE PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
600 N MAIN ST STE 200, WOODSTOCK, VA 22664-1855
(540) 459-6222
Mailing address
800 S MAIN ST, HARRISONBURG, VA 22801-3104
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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