Individual
JONATHAN CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2005 BIG PANTHER DR, WILLOW SPRING, NC 27592-6020
(919) 816-5820
Mailing address
2005 BIG PANTHER DR, WILLOW SPRING, NC 27592-6020
(919) 816-5820
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2249
AL
103T00000X
Psychologist
35SI00700000
NJ
103T00000X
Psychologist
6654
NC
Other
Enumeration date
09/02/2022
Last updated
11/10/2024
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