Individual
DR. JORDYN W CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
163 PROSPECT PARK WEST, BROOKLYN, NY 11215
(718) 306-7755
Mailing address
163 PROSPECT PARK WEST, BROOKLYN, NY 11215
(718) 306-7755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018465
NY
103TS0200X
School Psychologist
2133075
NY
Other
Enumeration date
12/26/2009
Last updated
06/05/2018
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