| Janet Gilchrist Jordan Phd Pllc | |
|
628 E Parent Ave Ste 109 Royal Oak MI 48067-3766 | |
| (248) 563-2290 | |
| (248) 543-4440 |
| Full Name | Janet Gilchrist Jordan Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 628 E Parent Ave Ste 109, Royal Oak, Michigan |
| Authorized Official Name and Position | Janet Gilchrist Jordan (PSYCHOLOGIST) |
| Authorized Official Contact | 2485632290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janet Gilchrist Jordan Phd Pllc 628 E Parent Ave Ste 109 Royal Oak MI 48067-3766 Ph: (248) 563-2290 | Janet Gilchrist Jordan Phd Pllc 628 E Parent Ave Ste 109 Royal Oak MI 48067-3766 Ph: (248) 563-2290 |
| NPI Number | 1346518503 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 04/26/2012 |
| Medicare PECOS PAC ID | 5294996120 |
|---|---|
| Medicare Enrollment ID | O20120419000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346518503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301011483 (Michigan) | Primary |
| Provider Name | Janet G Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043413164 PECOS PAC ID: 6305029562 Enrollment ID: I20110324000914 |
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