Individual
MICHAEL BRIAN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
1338 VETERANS HWY APT P7, LEVITTOWN, PA 19056-2015
(215) 630-7979
Mailing address
1338 VETERANS HWY APT P7, LEVITTOWN, PA 19056-2015
(215) 630-7979
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00511600
NJ
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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