Individual
JORDAN M ROOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
196 W ASHLAND ST # 520, DOYLESTOWN, PA 18901-4040
(814) 404-9208
Mailing address
196 W ASHLAND ST # 520, DOYLESTOWN, PA 18901-4040
(814) 404-9208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018463
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034885180001
—
PA
Enumeration date
07/09/2014
Last updated
06/03/2024
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