Individual
REBECCA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
8623 N WAYNE RD, SUITE 310, WESTLAND, MI 48185-1137
(734) 425-0636
Mailing address
8623 N WAYNE RD, SUITE 310, WESTLAND, MI 48185-1137
(734) 425-0636
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014655
MI
Other
Enumeration date
10/05/2011
Last updated
08/11/2016
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