Judith V Jordan,ph.d.,pc

  • 1063660207 NPI Number
  • |
  • Actived: 11 years ago
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According to our database, NPI number for Judith V Jordan,ph.d.,pc is 1063660207 and actived since Friday, August 29 2008. Judith V Jordan,ph.d.,pc is an Organization provider specializes in Psychologist. Provider information was last updated on 08/29/2008.

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Overview of Judith V Jordan,ph.d.,pc

  • NPI number: 1083161814
  • Provider type: Organization
  • Specialty: Psychologist
  • Active since: 08/29/2008
  • Last updated: 08/29/2008

Primary Scrop of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: 1019
  • License State: MA

Provider Mailing Address

  • Address: 114 Waltham St
    Suite 17
    Lexington, MA 02421
  • Phone: 617-855-2140
  • Fax: 781-860-9592

Provider Practice Location

  • Address: 114 Waltham St
    Suite 17
    Lexington, MA 02421
  • Phone: 617-855-2140
  • Fax: 781-860-9592

Authorized Official

  • Name: DR. Judith Victoria Jordan PH.D.
  • Position/Title: Psychologist
  • Telephone Number: 617-855-2140

Scope of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: 1019
  • License State: MA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: W10450
  • Identifier Type: Other
  • Identifier State: MA
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

What is the npi number?

  • Q: What is the npi number for Judith V Jordan,ph.d.,pc?
  • A: The npi number for Judith V Jordan,ph.d.,pc is 1063660207.
  • Q: What are Judith V Jordan,ph.d.,pc's specialties?
  • A: Judith V Jordan,ph.d.,pc's specialties are Psychologist and different specialities.
  • Q: Where is Judith V Jordan,ph.d.,pc business practice location?
  • A: Judith V Jordan,ph.d.,pc business practice location is 114 Waltham St, Lexington, MA 02421.
  • Q: How to contact Judith V Jordan,ph.d.,pc?
  • A: You can contact Judith V Jordan,ph.d.,pc via 617-855-2140.
  • Q: What is the authorized official for Judith V Jordan,ph.d.,pc?
  • A: The authorized office name is DR. Judith Victoria Jordan PH.D. with position/title is Psychologist and you can reach the authorized official via phone number 6178552140.