Individual
DR. JORDAN CHRISTOPHER SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6610 N UNIVERSITY DR STE 210, TAMARAC, FL 33321-4000
(954) 720-0412
Mailing address
7455 NW 179TH TER, HIALEAH, FL 33015-8438
(972) 824-4824
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10276
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY10276
FL
103TC0700X
Clinical Psychologist
PY10276
FL
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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