Individual
DR. JUDITH VICTORIA JORDAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
114 WALTHAM ST, SUITE 17, LEXINGTON, MA 02421-5415
(617) 855-2149
(781) 860-9592
Mailing address
29 BARBERRY RD, LEXINGTON, MA 02421-8025
(617) 855-2140
(781) 860-9592
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1019
MA
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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