Individual
DR. JORDAN L. PAUKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
75 W MAIN ST, FREEHOLD, NJ 07728-2114
(732) 431-2171
(732) 409-3634
Mailing address
253 SHINNECOCK DR, MANALAPAN, NJ 07726-9524
(732) 431-2171
(732) 409-3634
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1695
NJ
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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