Individual
JORDAN MARCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-1112
(404) 785-6288
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-1112
(404) 785-6288
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003476
GA
Other
Enumeration date
10/11/2011
Last updated
06/06/2022
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